Individual
JACQUELINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SH 121 BYPASS #200, SUITE #22, LEWISVILLE, TX 75067
(469) 496-1067
Mailing address
146 VALLEY VIEW DR APT 112, LEWISVILLE, TX 75067-7795
(469) 496-1067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
135542
TX
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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