Individual
MARQUITA A MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11311 RICHMOND AVE STE L100A, HOUSTON, TX 77082-5547
(702) 375-9542
Mailing address
11311 RICHMOND AVE STE L100A, HOUSTON, TX 77082-5547
(702) 375-9542
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT136099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT136099
MASSAGE LICENSE
TX
Enumeration date
03/03/2022
Last updated
03/07/2022
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