Individual
CHARISSE FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
3952 E 42ND ST, SUITE AA, ODESSA, TX 79762-5932
(432) 362-9000
Mailing address
3952 E 42ND ST, SUITE AA, ODESSA, TX 79762-5932
(432) 362-9000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT047635
TX
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
About Stedi
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