Individual
CARMEN MARIE OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
626A LUTHER DR, GEORGETOWN, TX 78628-8975
(512) 773-3273
Mailing address
626A LUTHER DR, GEORGETOWN, TX 78628-8975
(512) 773-3273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT108937
TX
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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