MICHAEL CLARENCE RUSS

DEPEW, NY
NPI1487895116
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: NY  022275)
Enumeration Date2009-03-09
Last Update Date2009-03-09
Business Address
Mr. MICHAEL CLARENCE RUSS LMT
5102 TRANSIT RD
DEPEW, NY 14043-4465
Phone number: 716-341-5152
Mailing Address
Mr. MICHAEL CLARENCE RUSS LMT
78 SOUTHPOINT DR
LANCASTER, NY 14086-3334
Phone number: 716-341-5152