NPI | 1093352841 |
---|---|
Other Name | ANGELA RENEE STEADHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA.60944090) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 34643) |
Enumeration Date | 2019-11-27 |
Last Update Date | 2019-11-27 |