Individual
ANGELA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1135 POTTER AVE, ROCKWALL, TX 75087-2419
(972) 965-8913
Mailing address
1135 POTTER AVE, ROCKWALL, TX 75087-2419
(972) 965-8913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT020074
TX
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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