Individual
ROSELIS EDITH PIEDALUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28710 PEARL BRIDGE LN, KATY, TX 77494-3876
(720) 499-7880
Mailing address
28710 PEARL BRIDGE LN, KATY, TX 77494-3876
(720) 499-7880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1438740
—
CO
Enumeration date
01/24/2021
Last updated
01/24/2021
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