Individual
MRS. DESIREE MARIE DAVENPORT-DESSUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 W FM 2410 RD STE C, HARKER HEIGHTS, TX 76548-1806
(254) 519-2273
Mailing address
9104 BOWFIELD DR STE B, KILLEEN, TX 76542-6289
(254) 688-0460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134278
TX
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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