Individual
BRENDA UNGHAJER
Active
Individual
BRENDA UNGHAJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
RN593881
PA
225700000X
Massage Therapist
Primary
MSG012830
PA
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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