Individual
MICHELLE LUCILLE LAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
1634 CORNELIUS AVE, WANTAGH, NY 11793-2804
(516) 784-9434
Mailing address
1634 CORNELIUS AVE, WANTAGH, NY 11793-2804
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007109-01
NY
225700000X
Massage Therapist
030967-01
NY
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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