Individual
RAFAEL JESUS AYALA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 DEER CREEK DR APT 9-107, ARLINGTON, TX 76010-0736
(787) 585-7971
Mailing address
2715 DEER CREEK DR APT 9-107, ARLINGTON, TX 76010-0736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132815
TX
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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