Individual
BREONNA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 S GESSNER RD STE 208, HOUSTON, TX 77063-3774
(832) 382-1825
Mailing address
2950 S GESSNER RD STE 208, HOUSTON, TX 77063-3774
(832) 382-1825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT136539
TX
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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