Individual
BROOKE CHANTELLE FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01256
TX
173C00000X
Reflexologist
MT104970
TX
Other
Enumeration date
02/22/2011
Last updated
08/18/2020
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