Individual
EVA-MARIE DARLENE KILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
25 EL CAMINO REAL, SUITE 4, SIERRA VISTA, AZ 85635-2800
(520) 220-6481
Mailing address
25 EL CAMINO REAL, SUITE 4, SIERRA VISTA, AZ 85635-2800
(520) 220-6481
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-06071
AZ
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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