Individual
BRENT DEL BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14028 N HIGHWAY 183, AUSTIN, TX 78717-5992
(502) 303-1801
Mailing address
14028 N HIGHWAY 183, AUSTIN, TX 78717-5992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
117158
TX
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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