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Individual

SHINEESA JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
16 CHAPEL HILL DR, BRENTWOOD, NY 11717-1920
(347) 456-3043
Mailing address
16 CHAPEL HILL DR, BRENTWOOD, NY 11717-1920
(347) 456-3043

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033018-01
NY

Other

Enumeration date
09/14/2024
Last updated
09/14/2024
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