Individual
SAMANTHA LEE KOCIEMBA
Active
Individual
SAMANTHA LEE KOCIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356513592
MASSAGE
MN
Enumeration date
10/30/2018
Last updated
10/30/2018
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