Individual
MRS. SARHENA SERANNA BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N85W16100 APPLETON AVE STE 207, MENOMONEE FALLS, WI 53051-3000
(262) 804-2699
Mailing address
N85W16100 APPLETON AVE STE 207, MENOMONEE FALLS, WI 53051-3000
(262) 804-2699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14543-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14543-146
ANTHEM BLUE ACROSS
WI
Enumeration date
10/10/2019
Last updated
10/10/2019
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