Individual
KIMBERLY ANNETTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
4768 COUNTY ROAD 502B, SWEENY, TX 77480-8119
(979) 236-3021
(979) 548-4808
Mailing address
4768 COUNTY ROAD 502B, SWEENY, TX 77480-8119
(979) 236-3021
(979) 548-4808
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT033206
TX
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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