Individual
MS. VICKI LORAIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3725 WASHINGTON BLVD, SUITE 11, SOUTH OGDEN, UT 84403-1754
(801) 510-5627
Mailing address
3725 WASHINGTON BLVD, SUITE 11, SOUTH OGDEN, UT 84403-1754
(801) 510-5627
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
372514-4701
UT
Other
Enumeration date
01/12/2010
Last updated
01/13/2010
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