Individual
PAMELLA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8301 LAKE VIS, 211, SAN ANTONIO, TX 78227-4361
(210) 902-6411
Mailing address
8301 LAKE VIS, 211, SAN ANTONIO, TX 78227-4361
(210) 902-6411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT036011
TX
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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