Organization
SOBUR MASSAGE LLC
Active
Organization
SOBUR MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY LEE (OWNER/ MASSAGE THERAPIST)
(702) 994-1086
Entity
Organization
Contact information
Practice address
8091 LOTTIE AVE, LAS VEGAS, NV 89149-4769
(702) 994-1086
Mailing address
8091 LOTTIE AVE, LAS VEGAS, NV 89149-4769
(702) 994-1086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NV.5600
NV
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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