Individual
NZINGA GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S WARREN ST # 301, SYRACUSE, NY 13202-1798
(315) 569-4549
Mailing address
516 BEATTIE ST, SYRACUSE, NY 13224-1542
(315) 440-0413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031136
NY
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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