Individual
MISS JAIMIE KAHAULANI ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, LMT
Contact information
Practice address
900 ERIE BLVD W, ROME, NY 13440-2904
(315) 292-8744
Mailing address
900 ERIE BLVD W, ROME, NY 13440-2904
(315) 292-8744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022822
NY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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