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Individual

MRS. JUDITH MORENO-CASTRO

Active
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Individual

MRS. JUDITH MORENO-CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP/LMT, CST

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
173C00000X
Reflexologist
225700000X
Massage Therapist
LMT-023358
OR
225700000X
Massage Therapist
Primary
MA60763158
WA

Other

Enumeration date
06/29/2017
Last updated
06/29/2017
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