Individual
MR. CAMERON COZART
Active
Individual
MR. CAMERON COZART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60126504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60126504
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/09/2010
Last updated
03/20/2012
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