Individual
MRS. LANA ALVAS MENDONCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0001
(304) 696-4110
Mailing address
PO BOX 326, HUNTINGTON, WV 25708-0326
(304) 696-4110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2010-2684
WV
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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