Individual
JEWANA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34 HEMPSTEAD TPKE, FARMINGDALE, NY 11735-2034
(516) 680-0974
Mailing address
34 HEMPSTEAD TPKE, FARMINGDALE, NY 11735-2034
(516) 680-0974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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