Individual
VALLI LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
17000 EL CAMINO REAL STE 305A, HOUSTON, TX 77058-2634
(281) 286-4847
Mailing address
17000 EL CAMINO REAL #305A, HOUSTON, TX 77058
(281) 286-4847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015423
MT
TX
Enumeration date
12/07/2011
Last updated
12/07/2011
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