Individual
LOTACHI IZUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 BROADWAY, CAMBRIDGE, MA 02139-1803
(617) 388-4764
Mailing address
20 CEDAR ST, BOSTON, MA 02126-2925
(617) 388-4764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11507
MA
374J00000X
Doula
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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