Individual
BOUNMEE MIMI PHANOUVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10006 MAHAFFEY RD, TOMBALL, TX 77375-1437
(713) 321-9495
Mailing address
17555 STATE HIGHWAY 249, HOUSTON, TX 77064-1012
(281) 970-9750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT113717
TX
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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