Individual
WINDY CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45310 N 14TH ST, NEW RIVER, AZ 85087-7347
(480) 299-1123
Mailing address
45310 N 14TH ST, NEW RIVER, AZ 85087-7347
(480) 299-1123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16584
AZ
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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