Individual
MR. JAMES GIAMBRONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13723
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13723
STATE MASSAGE LICENSE
OR
Enumeration date
12/04/2008
Last updated
12/04/2008
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