Individual
ELIZABETH MAE QUESENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6929 ERIE RD, DERBY, NY 14047-9406
(716) 947-9028
(716) 947-5972
Mailing address
6929 ERIE RD, DERBY, NY 14047-9406
(716) 947-9028
(716) 947-5972
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023161
NY
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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