Individual
MRS. MARY PETRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2152 S VINEYARD, MESA, AZ 85210-6871
(480) 539-6646
Mailing address
2152 S VINEYARD, MESA, AZ 85210-6871
(480) 539-6646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-11994
AZ
Other
Enumeration date
10/22/2014
Last updated
11/03/2014
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