Individual
HAI YEN PHUNG DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NMT
Contact information
Practice address
6685 DOUBLETREE AVE, COLUMBUS, OH 43229-1113
(614) 638-8658
Mailing address
1095 SLADE AVE, COLUMBUS, OH 43235-4092
(614) 638-8658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.022676
OH
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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