Individual
AMBER R NUSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41710 N ERICSON CT, ANTHEM, AZ 85086-6041
(602) 377-9129
Mailing address
41710 N ERICSON CT, ANTHEM, AZ 85086-6041
(602) 377-9129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-20229
AZ
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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