Individual
AMANDA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Mailing address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-20091
AZ
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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