Individual
IESHIA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 REGENCY PKWY STE 501, MANSFIELD, TX 76063-3795
(214) 405-5088
Mailing address
6002 ALTERSGATE LN, ARLINGTON, TX 76001-7925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125637
TX
Other
Enumeration date
01/25/2018
Last updated
06/16/2018
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