Individual
MRS. ROSE M LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14856 W AMELIA AVE, GOODYEAR, AZ 85395-8205
(253) 389-5302
Mailing address
14856 W AMELIA AVE, GOODYEAR, AZ 85395-8205
(253) 389-5302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60253810
WA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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