Individual
DAVANELLE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8619 BROADWAY ST STE 101, PEARLAND, TX 77584-8495
(832) 586-8855
Mailing address
8619 BROADWAY ST STE 101, PEARLAND, TX 77584-8495
(832) 586-8855
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT129213
TX
225700000X
Massage Therapist
MT129213
TX
Other
Enumeration date
12/27/2021
Last updated
04/18/2022
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