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Individual

LASA BREE MENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
106 E MAIN ST, GLENVILLE, WV 26351-1117
(304) 402-8038
Mailing address
106 E MAIN ST, GLENVILLE, WV 26351-1117
(304) 402-8038

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015-3357
WV

Other

Enumeration date
09/06/2015
Last updated
09/06/2015
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