Individual
MRS. SHEILA JEAN MISTRIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24563 CLARK RD, MONTGOMERY, TX 77316-3876
(936) 597-4197
Mailing address
24555 CLARK RD, MONTGOMERY, TX 77316
(936) 597-4197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109193
TX
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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