NPI | 1194256750 |
---|---|
Former Name | SEPIN SEBASTIANUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist |
Additional Taxonomies | 173C00000X Reflexologist |
Enumeration Date | 2017-03-24 |
Last Update Date | 2017-03-27 |