Individual
ERIC BRANDON VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
11702 OLD LANTERN CT, FORT WASHINGTON, MD 20744-4254
(214) 687-1166
Mailing address
11702 OLD LANTERN CT, FORT WASHINGTON, MD 20744-4254
(214) 687-1166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R03245
MD
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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