Individual
LAQUISHA SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5523 SONATA LN, DALLAS, TX 75241-1242
(469) 508-0304
Mailing address
5523 SONATA LN, DALLAS, TX 75241-1242
(469) 508-0304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125889
TX
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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