MS. Jacqueline Dedomenico, LMT

NPI #1043817018 in Massapequa, New York

Provider Information

NPI Number: 1043817018
Entity Type: Individual
Name: MS. Jacqueline Dedomenico, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 2, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 72 PARKHILL AVE
City: Massapequa
State: New York
ZIP Code: 11758-4553
Phone: (516) 840-2383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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