Individual
LISA MARIE FAURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22150 N 20TH ST, SUITE 109, PHOENIX, AZ 85024-5608
(480) 262-1037
Mailing address
22150 N 20TH ST, SUITE 109, PHOENIX, AZ 85024-5608
(480) 262-1037
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13161
AZ
Other
Enumeration date
10/31/2011
Last updated
08/05/2013
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