Individual
BERTHA CARMEN MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1112 GLADE RD # 12, COLLEYVILLE, TX 76034-4227
(817) 888-1045
Mailing address
PO BOX 3562, GRAPEVINE, TX 76099-3562
(817) 888-1045
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
120557
TX
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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