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Individual

TITIANA SHOSTAK-KINKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
1590 WILLOW CREEK RD, PRESCOTT, AZ 86301-1141
(928) 227-1899
(800) 536-1048
Mailing address
1590 WILLOW CREEK RD, PRESCOTT, AZ 86301-1141
(928) 227-1899
(800) 536-1048

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-21408
AZ

Other

Enumeration date
04/29/2015
Last updated
07/31/2015
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