Individual
MRS. JUDY AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 LAKEVIEW PKWY STE 500, ROWLETT, TX 75088-4163
(469) 814-8126
(972) 905-5516
Mailing address
3801 LAKEVIEW PKWY STE 500, ROWLETT, TX 75088-4163
(469) 814-8126
(972) 905-5516
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT100256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08655905
DRIVERS LICENSE
TX
Enumeration date
04/03/2019
Last updated
04/03/2019
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