NPI | 1730996828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 550) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 015870) |
Enumeration Date | 2024-12-12 |
Last Update Date | 2024-12-12 |