MRS. Susanna De Jesus, LMT
NPI #1790364859 in North Babylon, New York
Provider Information
- NPI Number
- 1790364859
- Entity Type
- Individual
- Name
- MRS. Susanna De Jesus, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Apr 6, 2021
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 1147 DEER PARK AVE UNIT A
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-3103
- Phone
- (631) 402-4680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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