Individual
SHERYL MELISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
390 MERRICK AVE, EAST MEADOW, NY 11554-2701
(516) 587-4255
Mailing address
390 MERRICK AVE, EAST MEADOW, NY 11554-2701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019445
NY
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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