NPI | 1205252442 |
---|---|
Former Name | RHONDA MARBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 010722) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 0002106) |
174400000X Specialist (Licence: CO 13713) | |
Enumeration Date | 2014-03-12 |
Last Update Date | 2021-08-04 |