Individual
MRS. BERNADETTE LEE LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
634 SCHEMMER DR, SUITE 202, PRESCOTT, AZ 86305-2362
(928) 925-3051
Mailing address
1930 S. ROAD 1 WEST, CHINO VALLEY, AZ 86323
(928) 925-3051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13777
AZ
Other
Enumeration date
08/09/2010
Last updated
10/03/2010
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