Individual
JONATHAN XAVIER VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4324 MAPLESHADE LN, PLANO, TX 75093-0044
(469) 415-4420
Mailing address
4324 MAPLESHADE LN, PLANO, TX 75093-0044
(469) 415-4420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
133049
TX
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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