Charisse Foreman, MASSAGE THERAPIST

NPI #1407081631 in Odessa, Texas

Provider Information

NPI Number
1407081631
Entity Type
Individual
Name
Charisse Foreman, MASSAGE THERAPIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MASSAGE THERAPIST
Enumeration Date
May 18, 2009
Last Updated
May 18, 2009

Practice Location

Address
3952 E 42ND ST
Address 2
SUITE AA
City
Odessa
State
Texas
ZIP Code
79762-5932
Phone
(432) 362-9000

Specialties & Taxonomy Codes

Specialty
Specialist

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