Individual
JEILISSA LYNN CHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
64 SOBRO AVE, VALLEY STREAM, NY 11580-2315
(347) 455-8830
Mailing address
64 SOBRO AVE, VALLEY STREAM, NY 11580-2315
(347) 455-8830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02808901
NY
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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