Individual
EVA PENDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4526 44TH ST APT 5F, SUNNYSIDE, NY 11104-2417
(646) 325-3726
Mailing address
4526 44TH ST APT 5F, SUNNYSIDE, NY 11104-2417
(646) 325-3726
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012204
NY
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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