Individual
JEAN DANIELLE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
11222 RICHMOND AVE, SUITE 210, HOUSTON, TX 77082-6662
(832) 594-8705
(281) 752-5069
Mailing address
12123 ELLA LEE LN, HOUSTON, TX 77077-6032
(832) 594-8705
(281) 752-5069
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT021253
TX
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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