Individual
MRS. CHARLEE RACHELLE PADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
625 SAN MARIO CT, COLLEGE STATION, TX 77845-6584
(979) 703-6758
Mailing address
625 SAN MARIO CT, COLLEGE STATION, TX 77845-6584
(979) 703-6758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT105934
TX
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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