Individual
LILA KAMALA SAINT-BUZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTC
Contact information
Practice address
615 BUCK RD, DAVENPORT, NY 13750-8314
(310) 463-7225
Mailing address
615 BUCK RD, DAVENPORT, NY 13750-8314
(310) 463-7225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032631
NY
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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