Individual
SHELIYA WANMESBANSATIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6313 60TH PL FL 2, RIDGEWOOD, NY 11385-2029
(929) 444-5010
Mailing address
6313 60TH PL FL 2, RIDGEWOOD, NY 11385-2029
(929) 444-5010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033256
NY
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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