Individual
VICTORIA L SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 RIDGEVILLE CROSSING DR, INMAN, SC 29349-9620
(646) 384-9261
Mailing address
602 RIDGEVILLE CROSSING DR, INMAN, SC 29349-9620
(646) 384-9261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021926
NY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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