| NPI | 1316703358 |
|---|---|
| Former Name | JACQUELINEE ANN MARIE PRIETO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SD 11457) |
| Additional Taxonomies | 171400000X |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-03-05 |