Individual
SAGE SOUZA MACKIN
Active
Individual
SAGE SOUZA MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9358
AR
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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