Most Relevant Information
Provider Data
NPI Number: | 1003532128 |
Provider Name: | PRECIOUS MOORE LMT |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | 029930 |
Most Important Dates
Enumeration Date: | 10/19/2022 |
Last Updated: | 10/19/2022 |
Provider Practice Location
5509 MERRICK RD
MASSAPEQUA
NY
117586215
Practice Location Phone/Fax
Phone: | 5165418933 |
Fax: |
Provider Mailing Location
809 VAN SINDEREN AVE
BROOKLYN
NY
112077633
Provider Mailing Phone/Fax
Phone: | 9293427373 |
Fax: |