Individual
FABIOLA RETANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
400 S ZANG BLVD STE 727, DALLAS, TX 75208-6600
(214) 400-2594
Mailing address
507 FLAMINGO WAY, DUNCANVILLE, TX 75116-3828
(214) 400-2594
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125945
TX
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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