Individual
JENNIFER MARIE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4536 MAIN ST, AMHERST, NY 14226-3828
(716) 560-6362
Mailing address
4536 MAIN ST, AMHERST, NY 14226
(716) 560-6362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 023297
NY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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