Individual
RODOLFO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1903 W 4TH AVE, CORSICANA, TX 75110-4260
(214) 918-7999
Mailing address
1903 W 4TH AVE, CORSICANA, TX 75110-4260
(214) 918-7999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT121323
TX
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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