Individual
RICHARD DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 W GLENDALE AVE APT 105, PHOENIX, AZ 85021-7766
(623) 249-0610
Mailing address
15380 W YOUNG ST APT 3029, SURPRISE, AZ 85374-7459
(623) 249-0610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29619
AZ
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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