Individual
CRISELDA DE ANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S CLOSNER BLVD, SUITE B, EDINBURG, TX 78539-5600
(956) 566-7861
Mailing address
1704 N KENYON RD, EDINBURG, TX 78542-1484
(956) 566-7861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107949
TX
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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