JENNIFER SUZANNE VILLA

FAIRPORT, NY
NPI1639606981
Former NameJENNIFER SUZANNE LONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: NY  005978)
Enumeration Date2017-05-17
Last Update Date2020-05-07
Business Address
Mrs. JENNIFER SUZANNE VILLA L.AC
625 AYRAULT RD
FAIRPORT, NY 14450-3076
Phone number: 585-465-1056
Mailing Address
Mrs. JENNIFER SUZANNE VILLA L.AC
1507 PROVIDENCE DR
WEBSTER, NY 14580-9492
Phone number: 315-730-5175