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Individual

MS. LISA DEFURIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
2808 SODORNO LN, HENDERSON, NV 89074-2464
(702) 499-2975
Mailing address
2808 SODORNO LN, HENDERSON, NV 89074-2464
(702) 499-2975

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NVMT.3588
NV

Other

Enumeration date
12/19/2010
Last updated
12/19/2010
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