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Individual

RAFAEL VILLARREAL IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RMT

Contact information

Practice address
7409 CANNON MOUNTAIN PL, AUSTIN, TX 78749-3308
(512) 484-7720
Mailing address
7409 CANNON MOUNTAIN PLACE, AUSTIN, TX 78749
(512) 484-7720

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT037687
TX

Other

Enumeration date
12/02/2006
Last updated
07/08/2007
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