Individual
JOSIE BURCIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3300 MAIN ST APT 103, DALLAS, TX 75226-2523
(817) 987-5599
Mailing address
1101 W 7TH ST APT 414, FORT WORTH, TX 76102-3556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132233
TX
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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