Individual
GEORGETTE C HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 N VERMONT ST, COVINGTON, LA 70433-3240
(985) 377-6983
Mailing address
222 N VERMONT ST STE S, COVINGTON, LA 70433-3240
(985) 377-6983
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4350
LA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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