Individual
MR. CHARLES GEORGE KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6223 N 20TH DR, PHOENIX, AZ 85015-1516
(480) 518-2090
(855) 518-2090
Mailing address
3905 N 7TH AVE UNIT 34965, PHOENIX, AZ 85013-3368
(480) 518-2090
(855) 518-2090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-09329
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-09329
MASSAGE LICENSE
AZ
Enumeration date
01/06/2020
Last updated
01/06/2020
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