Individual
XIMENA JAQUELINE SUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 S MIDDLETOWN RD, NANUET, NY 10954-3327
(845) 354-1064
Mailing address
259 S MIDDLETOWN RD, NANUET, NY 10954-3327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028506-01
NY
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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