Individual
MARLEN IVONNE BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10500 FOUNTAIN LAKE DR APT 1532, STAFFORD, TX 77477-3755
(979) 241-2566
Mailing address
10500 FOUNTAIN LAKE DR APT 1532, STAFFORD, TX 77477-3755
(979) 241-2566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132063
TX
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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