Individual
JESSENIA A QUINONEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
2552 LORNA PL, OCEANSIDE, NY 11572-1325
(917) 704-2969
Mailing address
2552 LORNA PL, OCEANSIDE, NY 11572-1325
(917) 704-2969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020884
NY
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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