Individual
VALALUCK TUKOVINIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8811 ELMHURST AVE APT C7, ELMHURST, NY 11373-1510
(646) 932-8462
Mailing address
8811 ELMHURST AVE APT C7, ELMHURST, NY 11373-1510
(646) 932-8462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021418-1
NY
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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