NPI | 1760774939 |
---|---|
Professional Name | KYLE EDWIN JERSEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA60871) |
Additional Taxonomies | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: FL RN9264326) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2011-05-06 |