Organization
ANDAMAN SPA SPORT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKELINE CARDONA (OWNER)
(832) 744-6688
Entity
Organization
Contact information
Practice address
2050 NORTH LOOP W STE 116, HOUSTON, TX 77018-8111
(832) 744-6688
Mailing address
2050 NORTH LOOP W STE 116, HOUSTON, TX 77018-8111
(832) 744-6688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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