BLAZE JIMS MAMMEN

ALLEN, TX
NPI1053775379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1270540)
Enumeration Date2016-04-12
Last Update Date2016-04-12
Business Address
-- BLAZE JIMS MAMMEN
2035 W MCDERMOTT DR STE 460
ALLEN, TX 75013-4733
Phone number: 214-289-6159
Mailing Address
-- BLAZE JIMS MAMMEN
305 NE LOOP 820 BUSINESS TOWER 1 ,SUITE 200
HURST, TX 76053-7209
Phone number: 817-292-8787
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