| NPI | 1821142654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE GATICA Massage Theapist 7865-252-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA36491) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |