Individual
JOLIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 FM 646 RD W APT 1034, DICKINSON, TX 77539-3584
(348) 453-2088
Mailing address
5205 BROADWAY ST # PEARLAND, PEARLAND, TX 77581-3942
(347) 453-2088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT117294
GA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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