NPI | 1184956047 |
---|---|
Other Name | SKY VAN HORN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CO 0002084) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 4550) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2022-07-21 |