Individual
NERI CAMPOS-GARDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3952 E 42D, ODESSA, TX 79762
(432) 362-9000
Mailing address
3952 E 42ND ST, ODESSA, TX 79762-5932
(432) 362-9000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122900
TX
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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