| NPI | 1164139309 |
|---|---|
| Former Name | JAMES GUZMAN QUINTERO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ mt-18347) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |