Individual
MRS. VARTITER TERZIAN-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2300 PLUME DR, TYLER, TX 75703-1717
(903) 561-3094
Mailing address
2300 PLUME DR, TYLER, TX 75703-1717
(903) 561-3094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT100441
TX
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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