Individual
CORINNE N DEPRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1580 E GRAN CIRCULO, FORT MOHAVE, AZ 86426-9233
(928) 542-6491
Mailing address
1580 E GRAN CIRCULO, FORT MOHAVE, AZ 86426-9233
(928) 542-6491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23150
AZ
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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