Christina Licona, LMT

NPI #1912436957 in Owasso, Oklahoma

Provider Information

NPI Number: 1912436957
Entity Type: Individual
Name: Christina Licona, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 4, 2017
Last Updated: Jun 4, 2017

Practice Location

Address: 12806 E 86TH PL N
City: Owasso
State: Oklahoma
ZIP Code: 74055-2687
Phone: (918) 277-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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