Individual
MARY NAN KNODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,MTICL
Contact information
Practice address
4353 CROW RD STE A, BEAUMONT, TX 77706-7085
(409) 860-9500
(409) 860-9530
Mailing address
4353 CROW RD STE A, BEAUMONT, TX 77706-7085
(409) 860-9500
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
TX
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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