Individual
RONNY LEE SLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LMP
Contact information
Practice address
4111 E VALLEY AUTO DR, SUITE 201, MESA, AZ 85206-4605
(602) 369-0823
(186) 686-3414
Mailing address
PO BOX 26521, TEMPE, AZ 85285-6521
(602) 369-0823
(186) 686-3414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-15362
AZ
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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