Individual
KHRUEAFA ANNA OWINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 S MAINE ST, FALLON, NV 89406-3301
(304) 410-8899
Mailing address
83 S MAINE ST, FALLON, NV 89406-3301
(304) 410-8899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8425
NV
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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