MS. Vicki Anne Agoglia, LMT

NPI #1417422213 in Nesconset, New York

Provider Information

NPI Number: 1417422213
Entity Type: Individual
Name: MS. Vicki Anne Agoglia, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 8, 2018
Last Updated: Oct 8, 2018

Practice Location

Address: 300 SOUTHERN BLVD
City: Nesconset
State: New York
ZIP Code: 11767-2709
Phone: (631) 379-5926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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