Individual
SANDRA WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19020 N 39TH ST, PHOENIX, AZ 85050-6338
(602) 404-8314
Mailing address
19020 N 39TH ST, PHOENIX, AZ 85050-6338
(602) 404-8314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-14686
AZ
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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