Individual
MRS. JILL ANN GILLAN-VAVRECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1416 SWEET HOME RD, SUITE 7, AMHERST, NY 14228-2784
(716) 450-7023
Mailing address
1416 SWEET HOME RD, SUITE 7, AMHERST, NY 14228-2784
(716) 450-7023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026894-1
NY
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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