Individual
MILFORD LEE STILLMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3598 E AUSTIN LN, QUEEN CREEK, AZ 85140-4328
(480) 993-7693
Mailing address
3598 E AUSTIN LN, QUEEN CREEK, AZ 85140-4328
(480) 993-7693
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-05011
AZ
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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