Individual
MRS. DENA R QUIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6635 STORM CAT LN, BURLESON, TX 76028-7990
(682) 708-3350
Mailing address
523 LINDA DR, BURLESON, TX 76028-5112
(682) 365-6500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT017451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT017451
TEXAS DEPARTMENT OF LICENSING
TX
Enumeration date
04/27/2020
Last updated
04/27/2020
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