Individual
MRS. PENNY LEE MUMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT MMP
Contact information
Practice address
2502 DEER PT, SAN ANTONIO, TX 78253-4904
(210) 834-7058
Mailing address
2502 DEER PT, SAN ANTONIO, TX 78253-4904
(210) 834-7058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT104416
TX
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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