Individual
SANDRA BENNAWY MOUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2820 MCKINNON ST APT 5044, DALLAS, TX 75201-1050
(469) 583-6472
Mailing address
2820 MCKINNON ST APT 5044, DALLAS, TX 75201-1050
(469) 583-6472
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129428
TX
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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