Individual
CHARLENE E POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 W MAIN ST STE 425, LEWISVILLE, TX 75067-2601
(469) 337-6031
Mailing address
1565 W MAIN ST STE 425, LEWISVILLE, TX 75067-2601
(469) 337-6031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122822
TX
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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