Individual
LUCIANA CRYSTAL VASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BAS, LMT
Contact information
Practice address
570 FALLBROOK BLVD STE 112, LINCOLN, NE 68521-9025
(402) 937-8405
Mailing address
5145 W PARTRIDGE LN, LINCOLN, NE 68528-2149
(308) 390-5626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3633
NE
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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