Individual
LINA ISELA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5408 HIGH POINTE DR, HALTOM CITY, TX 76137-2689
(817) 808-2743
Mailing address
5408 HIGH POINTE DR, HALTOM CITY, TX 76137-2689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT131373
TX
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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