Individual
JINA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
40 MAIN ST, QUEENSBURY, NY 12804-4035
(518) 791-1437
Mailing address
23 VERMONT AVE, QUEENSBURY, NY 12804-7181
(518) 791-1437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018306
NY
Other
Enumeration date
11/16/2019
Last updated
03/16/2020
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