Individual
STACEY DIANE REDFERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3952 E 42ND ST, SUITE AA, ODESSA, TX 79762-5932
(904) 525-6731
(432) 362-2326
Mailing address
3952 E 42ND ST, SUITE AA, ODESSA, TX 79762-5932
(904) 525-6731
(432) 362-2326
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118650
TX
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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