Individual
BENJAWAN INCHOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18927 CYPRESS BAY DR, HOUSTON, TX 77084-7876
(713) 240-6130
Mailing address
18927 CYPRESS BAY DR, HOUSTON, TX 77084-7876
(713) 240-6130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118593
TX
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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