Individual
MIRELLA M AUGUSTINE-HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, C.O.E.
Contact information
Practice address
5309 N COLONY BLVD, THE COLONY, TX 75056-1307
(617) 435-7678
(469) 200-5209
Mailing address
5309 N COLONY BLVD, THE COLONY, TX 75056-1307
(617) 435-7678
(469) 200-5209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6004100
MA
225700000X
Massage Therapist
Primary
018521200601
MA
Other
Enumeration date
01/29/2007
Last updated
11/19/2015
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