NPI | 1225766777 |
---|---|
Doing Business As | ERIC VAN LEEUWEN, LMT |
Entity Type | Organization |
Authorized Contact | ERIC VAN LEEUWEN Massage Therapist 415-609-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2022-08-11 |
Last Update Date | 2022-08-11 |