Individual
ADRIANNA IRIS DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2880B MERRICK RD, BELLMORE, NY 11710-5726
(516) 697-4770
Mailing address
105 BEDELL ST, FREEPORT, NY 11520-4542
(516) 697-4770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029032
NY
Other
Enumeration date
01/17/2020
Last updated
11/18/2024
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