Individual
LATRICE ELBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
637 HIGHWAY 958, SLAUGHTER, LA 70777-4321
(225) 405-3939
Mailing address
637 HIGHWAY 958, SLAUGHTER, LA 70777-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9056
LA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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