Individual
SASHA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1102 W EL PRADO RD, CHANDLER, AZ 85224-2743
(480) 621-9350
Mailing address
1102 W EL PRADO RD, CHANDLER, AZ 85224-2743
(480) 621-9350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13654
AZ
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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