Individual
MS. MINERVA C MERRIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGES THERAPIST
Contact information
Practice address
12635 N LA MONTANA DR APT 11, FOUNTAIN HILLS, AZ 85268-4537
(840) 390-7404
Mailing address
12635 N LA MONTANA DR APT 11, FOUNTAIN HILLS, AZ 85268-4537
(840) 390-7404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
225700000X
AZ
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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