Individual
AMANDA LAEL GOLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4225 E UNIVERSITY DR, #37, MESA, AZ 85205-7088
(480) 228-9253
Mailing address
4225 E UNIVERSITY DR, #37, MESA, AZ 85205-7088
(480) 228-9253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT10490
AZ
Other
Enumeration date
04/10/2010
Last updated
04/10/2010
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