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Individual

WILLIE DAVID BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, CA

Contact information

Practice address
28515 N NORTH VALLEY PWKY, 1137, PHOENIX, AZ 85085
(623) 272-6943
Mailing address
28515 N NORTH VALLEY PWKY, 1137, PHOENIX, AZ 85085
(623) 272-6943

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-19611
AZ

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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