MAXWELL ENNIST

BRONX, NY
NPI1215535505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: NY  0308231)
Enumeration Date2020-10-09
Last Update Date2020-10-09
Business Address
Mr. MAXWELL ENNIST LMT
210 BEDFORD PARK BLVD
BRONX, NY 10467
Phone number: 914-315-9088
Mailing Address
Mr. MAXWELL ENNIST LMT
3504 ROCHAMBEAU AVE APT 1J
BRONX, NY 10467-1376
Phone number: 914-315-9088
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