MIZUKO TAKAMOTO

MEDFORD, OR
NPI1043962780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  26563)
Enumeration Date2022-01-24
Last Update Date2023-09-14
Business Address
MIZUKO TAKAMOTO
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
Mailing Address
MIZUKO TAKAMOTO
PO BOX 12096
DES MOINES, IA 50312-9402
Phone number: 515-414-9339