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Lashelle Caban, LMT

Massage Therapist in Selden, NY. Individual provider (NPI-1).

NPI number1104270941
StatusActive
Last updated in NPPESSep 17, 2016

Details

NPI
1104270941
Entity type
Individual (NPI-1)
Name
Lashelle Caban
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 18, 2016
Last updated
Sep 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist028743NYYes

Practice location

910 Middle Country Rd
Selden, NY 11784-2541

Phone 631-379-4062

Mailing address

910 Middle Country Rd
Selden, NY 11784-2541

Phone 631-379-4062

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