Individual
BREYANAI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5011 COLONY HURST TRL, SPRING, TX 77373-2413
(704) 805-0515
Mailing address
5011 COLONY HURST TRL, SPRING, TX 77373-2413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125315
TX
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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