NPI | 1831444090 |
---|---|
Former Name | JOLENE E MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19021) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60286195) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2019-01-03 |