NPI | 1093307506 |
---|---|
Former Name | BONNIE J BRITTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT0007356) |
Additional Taxonomies | 173C00000X Reflexologist (Licence: CO MT0007356) |
Enumeration Date | 2021-02-05 |
Last Update Date | 2021-02-05 |