NPI | 1750109716 |
---|---|
Other Name | KATHERINE MANCILLA LMT |
Entity Type | Organization |
Authorized Contact | KATHERINE R MANCILLA Massage Therapist 786-200-4312 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2024-09-30 |
Last Update Date | 2025-06-05 |