JOSE LARA

SAN TAN VALLEY, AZ
NPI1356779607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  MT18417)
Enumeration Date2013-10-24
Last Update Date2013-10-24
Business Address
MR. JOSE LARA L.M.T
436 E BRADSTOCK WAY
SAN TAN VALLEY, AZ 85140-5773
Phone number: 480-244-5128
Mailing Address
MR. JOSE LARA L.M.T
436 E BRADSTOCK WAY
SAN TAN VALLEY, AZ 85140-5773
Phone number: 480-244-5128
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