NPI | 1396117784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 31027) |
Additional Taxonomies | 173C00000X Reflexologist (Licence: CA 31027) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2015-10-23 |