Individual
SARAH BONIFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
999 44TH ST STE 10000, MARION, IA 52302-3833
(319) 373-7311
(319) 373-7313
Mailing address
999 44TH ST STE 10000, MARION, IA 52302-3833
(319) 373-7311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006531
IA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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