Individual
RENISHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2747 W SOUTHERN AVE, STE. 7, TEMPE, AZ 85282-4249
(602) 437-3772
Mailing address
2747 W SOUTHERN AVE, STE. 7, TEMPE, AZ 85282-4249
(602) 437-3772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-03688P
AZ
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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