| NPI | 1720305527 |
|---|---|
| Former Name | JESSICA KASANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1550) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 225700000X Massage Therapist (Licence: CO 1785) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2022-03-25 |