Individual
ANA M PEREZ GISSY
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) 227-1899
Mailing address
PO BOX 27186, PRESCOTT VALLEY, AZ 86312-7186
(928) 277-6955
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-07057
AZ
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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