Individual
TAMEEKA N BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25300 ROCKAWAY BLVD, SUITE125, ROSEDALE, NY 11422
(646) 379-0496
Mailing address
PHENIX SALON SUITES 25300 ROCKAWAY BLVD, SUITE125, ROSEDALE, NY 11422
(646) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027065-01
NY
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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