| NPI | 1659920601 |
|---|---|
| Former Legal Business Name | DOCTOR DASH |
| Entity Type | Organization |
| Authorized Contact | GENA ROSS Owner 210-960-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |