Individual
DASHA OLEKSANDRIVNA WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 MAPLE LN, SYRACUSE, NY 13212-3839
(315) 399-7526
Mailing address
104 MAPLE LN, SYRACUSE, NY 13212-3839
(315) 399-7526
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024541
NY
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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