Individual
MELINDA J SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W STRATTON LOT B, SHOW LOW, AZ 85901-6318
(480) 289-0597
Mailing address
421 W STRATTON LOT B, SHOW LOW, AZ 85901-6318
(480) 289-0597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11623
AZ
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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