Individual
VANESSA AYOTUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1001 LAKE CAROLYN PKWY APT 463, IRVING, TX 75039-4816
(214) 850-3199
Mailing address
PO BOX 141404, IRVING, TX 75014-1404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127970
TX
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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