Individual
ACHESEOPALIMA ICHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CMT
Contact information
Practice address
1015 WATERWOOD PKWY, STE. G, UNIT G-1, EDMOND, OK 73034-5327
(866) 755-7019
Mailing address
1015 WATERWOOD PKWY, STE. G, UNIT G-1, EDMOND, OK 73034-5327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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