Individual
JOLINE R CARRAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 CROSS RIDGE CIR N, FORT WORTH, TX 76120-2435
(817) 791-1105
Mailing address
645 CROSS RIDGE CIR N, FORT WORTH, TX 76120-2435
(817) 791-1105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
132198
TX
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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