Individual
MS. SANDRA GAYLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
414 NOTTINGHAM DR, IRVING, TX 75061-6454
(469) 877-0994
Mailing address
414 NOTTINGHAM DR, IRVING, TX 75061-6454
(469) 877-0994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT043172
TX
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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