NPI | 1649539347 |
---|---|
Former Name | YONG SUN RO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101896) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT:12513) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2023-10-27 |