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Individual
TERESA PANTOJA
Active
Individual
TERESA PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA60989127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60989127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412159
MASSAGE
WA
Enumeration date
08/10/2021
Last updated
08/10/2021
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