| NPI | 1942061866 |
|---|---|
| Former Name | TINA ANZALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 61492260) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA61492260) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |