NPI | 1639414709 |
---|---|
Former Name | MARJORIE KAY MAHACEK-SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-00554P) |
Additional Taxonomies | 173C00000X Reflexologist |
Enumeration Date | 2012-11-30 |
Last Update Date | 2012-11-30 |