Individual
MR. JON MOONEYHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16802 MANDOLINO LN, SAN ANTONIO, TX 78266-1716
(214) 957-3677
Mailing address
16802 MANDOLINO LN, SAN ANTONIO, TX 78266-1716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
128297
TX
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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