Individual
LATOYA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 SOVEREIGN ST STE 290, SAN ANTONIO, TX 78229-5132
(210) 560-1343
Mailing address
6710 BABCOCK RD APT 533, SAN ANTONIO, TX 78249-2834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134449
TX
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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