Individual
MS. VALERIE FREEMAN BIEGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
A LA MOD SALON/ VFB-LMT, 3900 MERRETT DRIVE SUITE B, LAKE WORTH, TX 76106
(682) 201-5330
(817) 624-2780
Mailing address
2702 NW 19TH ST, FORT WORTH, TX 76106-5019
(682) 201-5330
(817) 624-2780
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
171W00000X
TX
171W00000X
Contractor
MT114854
TX
225700000X
Massage Therapist
Primary
MT114854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT114854
MASSAGE LICENSE NUMBER WITH THE STATE
TX
Enumeration date
06/05/2014
Last updated
03/29/2018
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