JEAN BOUCHER HARTZELL

PORT JEFFERSON, NY
NPI1285768820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: NY  12811)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Mrs. JEAN BOUCHER HARTZELL LMT
415 E MAIN ST
PORT JEFFERSON, NY 11777-1868
Phone number: 631-642-1109
Mailing Address
Mrs. JEAN BOUCHER HARTZELL LMT
415 E MAIN ST
PORT JEFFERSON, NY 11777-1868
Phone number: 631-642-1109