Individual
MELISSA LEE FEDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 NECHES DR, MABANK, TX 75156-6626
(469) 258-0100
Mailing address
108 NECHES DR, MABANK, TX 75156-6626
(469) 258-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107009
TX
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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