Individual
AMBALAKSHMY PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S DENTON TAP RD STE 290, COPPELL, TX 75019-5044
(469) 774-8535
(888) 828-3316
Mailing address
120 S DENTON TAP RD STE 290, COPPELL, TX 75019-5044
(469) 774-8535
(888) 828-3316
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
225700000X
Massage Therapist
Primary
MT129736
TX
Other
Enumeration date
05/02/2017
Last updated
04/17/2018
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