Individual
IZABELLA RENEE PAZ-VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 12TH AVE S, GREAT FALLS, MT 59405-4607
(406) 453-8885
Mailing address
1308 12TH AVE S, GREAT FALLS, MT 59405-4607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-26810
MT
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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