NPI | 1609623859 |
---|---|
Former Name | NICOLE LUNSFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0025781) |
Additional Taxonomies | 173C00000X Reflexologist |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-05-06 |