Individual
JENELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 IRVINGTON RD, ROCHESTER, NY 14620-4111
(585) 802-1280
Mailing address
31 IRVINGTON RD, ROCHESTER, NY 14620-4111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021179
NY
Other
Enumeration date
07/23/2008
Last updated
06/17/2022
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