Individual
MR. GEORGE KAZUMASA TERAMOTO
Active
Individual
MR. GEORGE KAZUMASA TERAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP, MAT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60112428
WA
225700000X
Massage Therapist
MAT4150
HI
Other
Enumeration date
10/07/2009
Last updated
11/08/2010
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