NPI | 1598371783 |
---|---|
Former Name | LAURA J GARZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA100735) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT2248) |
225700000X Massage Therapist (Licence: VA 0019010887) | |
Enumeration Date | 2020-09-22 |
Last Update Date | 2022-12-05 |