Individual
MRS. CARMEL LEANN WIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
711 RUSH AVE, BELLEFONTAINE, OH 43311
(937) 592-1625
(937) 592-3489
Mailing address
711 RUSH AVE, BELLEFONTAINE, OH 43311
(937) 592-1625
(937) 592-3489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33013677
OH
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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