Individual
SERENITY D LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1590 WILLOW CREEK RD, PRESCOTT, AZ 86301-1164
(928) 756-8352
Mailing address
717 W DELANO AVE, PRESCOTT, AZ 86301-1103
(928) 848-1046
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-07608
AZ
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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