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Individual
LISA MASCOTTI
Active
Individual
LISA MASCOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60089771
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60089771
MASSAGE THERAPIST
WA
Enumeration date
10/05/2016
Last updated
10/14/2016
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