Individual
KIMBERLY MICHELLE GLASCO
Active
Individual
KIMBERLY MICHELLE GLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
AK
225700000X
Massage Therapist
Primary
101819
AK
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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