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Individual

MRS. SHARON L SCUBLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
604 BUFFALO AVE, LINDENHURST, NY 11757-2031
(604) 339-5225
Mailing address
604 BUFFALO AVE, LINDENHURST, NY 11757-2031
(604) 339-5225

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027104-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4263288-00
NATION MASSAGE THERAPIST NUMBER
Enumeration date
06/24/2014
Last updated
06/24/2014
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