Individual
JANNA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2065 S COTTONWOOD DR, SUITE 1, TEMPE, AZ 85282-3040
(602) 999-8298
Mailing address
2065 S COTTONWOOD DR, SUITE 1, TEMPE, AZ 85282-3040
(602) 999-8298
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-01403P
AZ
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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