Individual
MS. WAYMONA RENE' KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MTI
Contact information
Practice address
702 BEL AIRE CRST, IRVING, TX 75061-7588
(469) 554-6366
Mailing address
702 BEL AIRE CRST, IRVING, TX 75061-7588
(469) 554-6366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109783
TX
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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