Individual
MRS. JILLIAN MARIE ZACCARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, COSMOTOLOGIST
Contact information
Practice address
105 S 4TH ST, LEWISTON, NY 14092-1522
(716) 348-4743
Mailing address
4946 HILLVIEW CT, LEWISTON, NY 14092-1810
(716) 348-4743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019806
NY
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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