Individual
JITPISOT JUMNONGJIT NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
931 W BETHANY DR, ALLEN, TX 75013-3739
(972) 449-9610
Mailing address
301 N GREENVILLE AVE APT 44, ALLEN, TX 75002-2274
(240) 383-5542
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127366
TX
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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