Individual
JETAIME MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 CARLETON AVE, ISLIP TERRACE, NY 11752-2639
(516) 330-9817
Mailing address
9 WINNIFRED ST, BAY SHORE, NY 11706-6525
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027967-01
NY
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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