Individual
BEVERLEY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP, MLD-C
Contact information
Practice address
4038 LEMMON AVE STE 101, DALLAS, TX 75219-3785
(469) 754-1232
Mailing address
PO BOX 154915, IRVING, TX 75015-4915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137771
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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