Organization
BREATH OF LIFE MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GOMEZ LMT, LVN (CO OWNER)
(310) 795-4965
Entity
Organization
Contact information
Practice address
305 N HEATHERWILDE BLVD STE 140, PFLUGERVILLE, TX 78660-4190
(512) 798-3221
Mailing address
305 N HEATHERWILDE BLVD STE 140, PFLUGERVILLE, TX 78660-4190
(512) 798-3221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
04/06/2022
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