Individual
MICHELLE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4390 QUINBY DR, SUITE D, HAMBURG, NY 14075-7900
(716) 523-4229
Mailing address
9532 S MAIN ST, ANGOLA, NY 14006-9104
(716) 523-4229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029333
NY
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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