Individual
KIMBERLY P EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 BROADWAY, BROOKLYN, NY 11221-3024
(917) 312-9647
Mailing address
687 KNICKERBOCKER AVE # 19, BROOKLYN, NY 11221-5305
(917) 312-9647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013622
NY
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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