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Individual

FAITH VANDYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
722 E SACK DR, PHOENIX, AZ 85024-8232
(928) 202-1665
Mailing address
722 E SACK DR, PHOENIX, AZ 85024-8232
(928) 202-1665

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-21615
AZ

Other

Enumeration date
11/27/2019
Last updated
11/27/2019
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