Individual
DEANNA LALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 VIRGIL AVE, MOUNT VERNON, IA 52314-9569
(319) 895-8655
(319) 895-8651
Mailing address
300 VIRGIL AVE, MOUNT VERNON, IA 52314-9569
(319) 895-8655
(319) 895-8651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
084046
IA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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