Individual
MS. CHRISTINA M WILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9629 CLIPNOCK RD, STAFFORD, NY 14143-9547
(716) 801-1427
Mailing address
9629 CLIPKNOCK RD, STAFFORD, NY 14143
(716) 801-1427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025792
NY
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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