Individual
BONNY TRYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-9355
(623) 213-8523
Mailing address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-9355
(623) 213-8523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-21602
AZ
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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