Individual
MR. YURIY KHOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 HART PL APT 3, PLAINVILLE, CT 06062-2861
(860) 543-1255
Mailing address
23 HART PL APT 3, PLAINVILLE, CT 06062-2861
(860) 543-1255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11425
CT
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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