Individual
LAMAR WILBERT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5809 GROVESNOR ST, PEARLAND, TX 77584-1354
(713) 775-5876
Mailing address
5809 GROVESNOR ST, PEARLAND, TX 77584-1354
(713) 775-5876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT131076
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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