Individual
SHAINA ELIZABETH BIENVENUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8599 TURIN RD, ROME, NY 13440-7521
(315) 337-0821
Mailing address
8599 TURIN RD, ROME, NY 13440-7521
(315) 337-0821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031703
NY
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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