| NPI | 1689039786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA AHUALLI License Massage Therapist 832-744-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 104671) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |