Individual
LONMONTRE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
204 N HYDE PARK BLVD APT B, CLEBURNE, TX 76033-9135
(817) 262-1669
Mailing address
204 N HYDE PARK BLVD APT B, CLEBURNE, TX 76033-9135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT121465
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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