Individual
ORA MAE CELESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 CRESTDALE DR APT 1071, HOUSTON, TX 77080-3935
(832) 790-9907
Mailing address
3130 CRESTDALE DR APT 1071, HOUSTON, TX 77080-3935
(832) 790-9907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107121
TX
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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