Individual
ITZEL AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6300 WEST LOOP SOUTH, SUITE 150, BELLAIRE, TX 77401
(713) 503-3194
Mailing address
6300 WEST LOOP SOUTH, SUITE 150, BELLAIRE, TX 77401
(713) 503-3194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT128865
TX
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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