Individual
SYDNEY BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,MMP
Contact information
Practice address
208 N FREDONIA ST, LONGVIEW, TX 75601-7209
(903) 230-1911
Mailing address
208 N FREDONIA ST, LONGVIEW, TX 75601-7209
(903) 230-1911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT123314
—
TX
Enumeration date
01/19/2021
Last updated
01/19/2021
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