Organization
ALICIA PARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MARIE PARKS LMT (OPERATOR)
(716) 432-1288
Entity
Organization
Contact information
Practice address
229 LAKE ST, HAMBURG, NY 14075-4466
(716) 432-1288
Mailing address
229 LAKE ST, HAMBURG, NY 14075-4466
(716) 432-1288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017704
NY
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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