Individual
YOLANEKA CHANTRICE SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VERNON DR, PROVIDENCE VILLAGE, TX 76227-8104
(618) 225-9757
Mailing address
1400 VERNON DR, PROVIDENCE VILLAGE, TX 76227-8104
(618) 225-9757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT138073
TX
Other
Enumeration date
02/10/2022
Last updated
09/20/2024
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