Individual
VALENCIA ELIZABETH BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP
Contact information
Practice address
503 DELMAR DR, COPPERAS COVE, TX 76522-4774
(254) 458-5655
Mailing address
503 DELMAR DR, COPPERAS COVE, TX 76522-4774
(254) 458-5655
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT119515
TX
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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