Individual
KATRINA LYNN CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 E BASELINE RD BLDG 5, GILBERT, AZ 85234-2738
(480) 265-1002
Mailing address
28650 N COAL AVE, SAN TAN VALLEY, AZ 85143-6012
(480) 265-1002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-19951
AZ
Other
Enumeration date
05/09/2020
Last updated
05/09/2020
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