NPI | 1508231960 |
---|---|
Former Name | DEBORAH LAMADRID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ LAC-000955) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0955) |
225700000X Massage Therapist (Licence: AZ MT-20830) | |
Enumeration Date | 2015-12-09 |
Last Update Date | 2021-02-02 |