Individual
JESSICA DEDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1130
(347) 210-8230
Mailing address
6815 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1130
(347) 210-8230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032872
NY
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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