Individual
JOHNATHAN VERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, C.M.M.P
Contact information
Practice address
1205 RIDGEWOOD LN, HUTCHINS, TX 75141-4144
(214) 859-2748
Mailing address
1205 RIDGEWOOD LN, HUTCHINS, TX 75141-4144
(214) 859-2748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT124158
TX
Other
Enumeration date
10/28/2017
Last updated
10/28/2017
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