Individual
TIFFANY RENEE DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT MMP
Contact information
Practice address
4044 SUMMERHILL SQ., TEXARKANA, TX 75503
(903) 791-9922
Mailing address
4044 SUMMERHILL SQ., TEXARKANA, TX 75503
(903) 791-9922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT105086
TX
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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