Individual
MRS. ANNA MARIA SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 STATE HIGHWAY 6 S, SUITE 700, COLLEGE STATION, TX 77845-5895
(979) 696-2000
Mailing address
3975 STATE HIGHWAY 6 S, SUITE 700, COLLEGE STATION, TX 77845-5895
(979) 696-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT100160
TX
Other
Enumeration date
10/29/2009
Last updated
11/04/2009
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