NPI | 1952511107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA16972) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10019410) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-07-08 |