Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60130466 | WA |
NPI | 1003138454 |
---|---|
Provider Name | Mireille P Sema |
First Address | Seattle, WA 98133-7020 |
Second Address | Edmonds, WA 98026-8762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 25/02/2010 |