Individual
BRENDA ILIANA HARTUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 E MISSOURI AVE, PHOENIX, AZ 85016-3106
(602) 955-6600
Mailing address
4808 W EL CAMINITO DR, GLENDALE, AZ 85302-6415
(714) 955-1354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25122
AZ
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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