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Individual

MR. JAMES HAWKINS DANIELS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
1019 STATE ROUTE 17M, MONROE, NY 10950-1643
(845) 781-5890
(516) 599-2185
Mailing address
1019 STATE ROUTE 17M, MONROE, NY 10950-1643
(845) 781-5890
(516) 599-2185

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025942-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025942-1
STATE LICENSE
NY
Enumeration date
02/26/2014
Last updated
02/26/2014
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