Individual
MRS. ALISHA VAN LEUVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2152 S VINEYARD STE 138, MESA, AZ 85210-6882
(480) 539-6646
(480) 539-6696
Mailing address
6237 E INGLEWOOD ST, MESA, AZ 85205-3682
(858) 531-3870
(480) 539-6696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-20555
AZ
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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