Corina Guachichullca, LMT

NPI #1851152045 in Oakdale, New York

Provider Information

NPI Number: 1851152045
Entity Type: Individual
Name: Corina Guachichullca, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 16, 2024
Last Updated: Feb 20, 2024

Practice Location

Address: 755 MONTAUK HWY STE 1
City: Oakdale
State: New York
ZIP Code: 11769-1801
Phone: (631) 319-9283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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