Individual
LATOYA VIKAL RIDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3651 LANDERS LN, ARLINGTON, TX 76014-3830
(337) 351-0365
Mailing address
3651 LANDERS LN, ARLINGTON, TX 76014-3830
(337) 351-0365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
116127
TX
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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