Individual
MRS. DIANE LYNN BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6731 DESERT ROSE LN, HOUSTON, TX 77086-2819
(713) 294-2836
Mailing address
6731 DESERT ROSE LN, HOUSTON, TX 77086-2819
(713) 294-2836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT109016
TX
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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