Individual
CORNELIUS WELLS CHRISTIE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CR
Contact information
Practice address
106 METROPOLITAN PARK DR, LIVERPOOL, NY 13088-5779
(315) 430-0122
Mailing address
106 METROPOLITAN PARK DR, LIVERPOOL, NY 13088-5779
(315) 430-0122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018350
NY
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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