Organization
HEAVENLY OASIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMIAH REED M.T (MASSAGE THERAPIST)
(318) 516-9626
Entity
Organization
Contact information
Practice address
2107 HONOR ST, SUITE C, MONROE, LA 71201-3648
(318) 516-9626
Mailing address
2107 HONOR ST, SUITE C, MONROE, LA 71201-3648
(318) 516-9626
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LA5986
LA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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