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Jitladda Bannon
NPI 1164299657 · on the registry since 2023
Practice
- Address
- 25 W Oak St
Farmingdale, NY 11735 - Phone
- (516) 376-1503
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York