| NPI | 1952008559 |
|---|---|
| Former Legal Business Name | RAQUEL MERRILL |
| Entity Type | Organization |
| Authorized Contact | RAQUEL NUGENT President 631-300-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |