Individual
TRALACIA A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 ASH ST, LA PLACE, LA 70068-6852
(504) 919-2329
Mailing address
142 ASH ST, LA PLACE, LA 70068-6852
(504) 919-2329
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225700000X
Massage Therapist
LA9985
LA
Other
Enumeration date
01/08/2024
Last updated
07/31/2024
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