Individual
JULIA LOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 W BROADWAY RD APT 14, MESA, AZ 85202-1014
(928) 848-0290
Mailing address
2145 W BROADWAY RD APT 14, MESA, AZ 85202-1014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27086
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-27086
MT
AZ
Enumeration date
11/22/2020
Last updated
11/22/2020
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