Individual
VICKIE LYNN DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3071 APULIA RD, JAMESVILLE, NY 13078-9608
(315) 415-5279
Mailing address
3071 APULIA RD, JAMESVILLE, NY 13078-9608
(315) 415-5279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033243-01
NY
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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