| NPI | 1497105589 |
|---|---|
| Former Name | TIFFANY LEE DIGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60672868) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: WA XT60666196) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-07-01 |