Individual
MARISA ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT MMP
Contact information
Practice address
801B E I30, ROCKWALL, TX 75087-5506
(214) 686-3650
Mailing address
801B E I30, ROCKWALL, TX 75087-5506
(214) 686-3650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
045827
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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