Susan Gabriela Dutan Urbina I, MT

NPI #1093354094 in Woodhaven, New York

Provider Information

NPI Number: 1093354094
Entity Type: Individual
Name: Susan Gabriela Dutan Urbina I, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 8811 JAMAICA AVE
City: Woodhaven
State: New York
ZIP Code: 11421-2039
Phone: (718) 846-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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