Individual
SOVONYA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11011 S 48TH ST STE 106, PHOENIX, AZ 85044-1787
(602) 999-3595
Mailing address
3802 E BASELINE RD APT 1048, PHOENIX, AZ 85042-7239
(602) 999-3595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28054
AZ
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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