Individual
MRS. V MICHELLE HASEGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7200 W BELL RD STE H108, GLENDALE, AZ 85308-8537
(602) 571-4653
Mailing address
7200 W BELL RD STE H108, GLENDALE, AZ 85308-8537
(602) 571-4653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-01091P
AZ
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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