Individual
GENEVIEVE JEANNE NGA EPSE OUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7162 E 19TH ST, TUCSON, AZ 85710-4909
(520) 891-5323
(520) 622-1480
Mailing address
7162 E 19TH ST, TUCSON, AZ 85710-4909
(520) 891-5323
(520) 622-1480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-24377
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255308300
UMR
AZ
Enumeration date
11/13/2019
Last updated
11/13/2019
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