Individual
JOHANNA ISELA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MLD
Contact information
Practice address
765 FDR DR APT 4D, NEW YORK, NY 10009-5617
(646) 671-4814
Mailing address
765 FDR DR APT 4D, NEW YORK, NY 10009-5617
(646) 671-4814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031849
NY
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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