Individual
KHALIA SHAWNAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 FULTON AVE APT 3B, BRONX, NY 10456-2409
(347) 734-0974
Mailing address
1326 FULTON AVE APT 3B, BRONX, NY 10456-2409
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033766
NY
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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