Individual
MS. SUZANNE AVANTYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 STATE HIGHWAY 64, GRAND CANYON, AZ 86023
(928) 638-8413
Mailing address
PO BOX 1941, GRAND CANYON, AZ 86023-1941
(928) 890-9734
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#46073
FL
Other
Enumeration date
05/21/2010
Last updated
12/19/2011
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