Individual
ASTRID CISNEROS
Active
Individual
ASTRID CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
163WM1400X
WA
225700000X
Massage Therapist
Primary
MA60466647
WA
Other
Enumeration date
02/20/2017
Last updated
11/18/2024
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