Individual
TINA ELAYNE MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4425 E AGAVE RD STE 114, PHOENIX, AZ 85044-0620
(480) 504-6077
Mailing address
10610 S 43RD PL, PHOENIX, AZ 85044-1310
(480) 241-7999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT15081
AZ
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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