Individual
MISS JENNIFER ANN MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29 CLINTON ST, BROCKPORT, NY 14420-1803
(585) 802-4692
Mailing address
29 CLINTON ST, BROCKPORT, NY 14420-1803
(585) 802-4692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019529
NY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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