Most Relevant Information
Provider Data
NPI Number: | 1003478249 |
Provider Name: | SARAH BONIFACE LMT |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | 006531 |
Most Important Dates
Enumeration Date: | 07/08/2019 |
Last Updated: | 07/08/2019 |
Provider Practice Location
999 44TH ST STE 10000
MARION
IA
523023833
Practice Location Phone/Fax
Phone: | 3193737311 |
Fax: | 3193737313 |
Provider Mailing Location
999 44TH ST STE 10000
MARION
IA
523023833
Provider Mailing Phone/Fax
Phone: | 3193737311 |
Fax: |