Most Relevant Information
Provider Data
NPI Number: | 1003415431 |
Provider Name: | JESSICA LYNN NARUS |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | 028028 |
Most Important Dates
Enumeration Date: | 10/16/2020 |
Last Updated: | 12/08/2020 |
Provider Practice Location
3380 VETERANS MEMORIAL HWY
BOHEMIA
NY
117161045
Practice Location Phone/Fax
Phone: | 6316763911 |
Fax: |
Provider Mailing Location
52 MORICHES AVE
EAST MORICHES
NY
119401201
Provider Mailing Phone/Fax
Phone: | |
Fax: |