Individual
NANILIA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
643 SWENSON AVE APT 2, SPRINGVILLE, UT 84663-2562
(385) 685-3883
Mailing address
643 SWENSON AVE APT 2, SPRINGVILLE, UT 84663-2562
(385) 685-3883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
112569764701
UT
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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