Individual
MARION B BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1015 E MAIN ST STE B, LEAGUE CITY, TX 77573-3235
(346) 603-0342
Mailing address
4706 27TH ST, DICKINSON, TX 77539-5502
(832) 306-6449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT130495
TX
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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