Individual
SYREETA MASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 W PARK ROW DR STE 106, PANTEGO, TX 76013-3404
(817) 881-5700
Mailing address
2206 W PARK ROW DR STE 106, PANTEGO, TX 76013-3404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019539
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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