TALATA AWOUSSOU AGOUDAVI, LMT

Massage Therapist

Active Individual
NPI: 1326781410

Practice Address

16323 MATHIAS AVE
Jamaica, NY 11433

Phone: (347) 876-1047

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 032379-01 (NY)

Frequently Asked Questions

NPI 1326781410 is the National Provider Identifier for TALATA AWOUSSOU AGOUDAVI, LMT, a Massage Therapist provider located in Jamaica, NY. This NPI was enumerated on April 16, 2022.
TALATA AWOUSSOU AGOUDAVI, LMT practices at 16323 MATHIAS AVE, Jamaica, NY 11433.

Quick Facts

NPI
1326781410
Type
Individual
Enumerated
Apr 16, 2022
Last Updated
Apr 16, 2022

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