Individual
ANGELICA PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1824 SPICEWOOD TRL, FORT WORTH, TX 76134-4971
(817) 793-2003
Mailing address
1824 SPICEWOOD TRL, FORT WORTH, TX 76134-4971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT046481
TX
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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