Individual
DEMETRIA BYONCA FAILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1501 BOSTON ST APT 28, FORT SMITH, AR 72901-6362
(479) 522-0162
Mailing address
1501 BOSTON ST APT 28, FORT SMITH, AR 72901-6362
(479) 522-0162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AR
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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