Individual
BERNICE F GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 MASON ST # B, HEMPSTEAD, NY 11550-6107
(516) 406-5121
Mailing address
73 MASON ST # B, HEMPSTEAD, NY 11550-6107
(516) 406-5121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02038301
NY
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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