SANTISOUK PROUGH

PEORIA, AZ
NPI1306691449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WM1400X Registered Nurse, Nurse Massage Therapist (NMT)
(Licence: AZ  MT)
Enumeration Date2024-04-22
Last Update Date2026-02-04
Business Address
SANTISOUK PROUGH CMT
8278 W LAKE PLEASANT PKWY
PEORIA, AZ 85382-7441
Phone number: 510-384-5817
Mailing Address
SANTISOUK PROUGH CMT
19401 N 15TH PL
PHOENIX, AZ 85024-3625
Phone number: 510-384-5817
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