Individual
TEQUILA PARIS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 W 22ND ST, NEW YORK, NY 10010
(718) 954-1240
Mailing address
3990 BRONX BLVD APT 4N, BRONX, NY 10466-3544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033775-01
NY
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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