Individual
MRS. JENNIFER LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 NASSAU RD, HUNTINGTON, NY 11743-3614
(631) 873-8449
Mailing address
120 NASSAU RD, HUNTINGTON, NY 11743-3614
(631) 873-8449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023820-02
NY
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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