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Individual

ZANA CLARISSA ITO

Active
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Individual

ZANA CLARISSA ITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA61261063

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225700000X
Massage Therapist
Primary
MA61261063
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA61261063
PRIMARY LICENSE
WA
Enumeration date
03/11/2019
Last updated
01/21/2022
About Stedi
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