NPI | 1083807754 |
---|---|
Other Name | SUSANA MONCADA ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00023755) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 000023755) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2024-05-13 |