Individual
LESA SOL PENSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 NORTHWOOD BLVD, INCLINE VILLAGE, NV 89451-8284
(775) 443-8500
Mailing address
PO BOX 3353, INCLINE VILLAGE, NV 89450-3353
(775) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
NVMT 328
NV
225700000X
Massage Therapist
Primary
NVMT 328
NV
Other
Enumeration date
09/30/2008
Last updated
10/01/2014
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