Individual
ISABELLE CAMBOULIVES XENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
265 HEATHERWOOD DR, DRIFTWOOD, TX 78619-8078
(714) 856-5150
Mailing address
265 HEATHERWOOD DR, DRIFTWOOD, TX 78619-8078
(714) 856-5150
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT114405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT114405
TEXAS DEPARTMENT LICENSING REGULATION TDLR
TX
Enumeration date
09/20/2020
Last updated
09/20/2020
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