Individual
MR. DEVANNON HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4242 GOVERNMENT ST STE 122, BATON ROUGE, LA 70806-5811
(225) 573-2778
Mailing address
4242 GOVERNMENT ST STE 122, BATON ROUGE, LA 70806-5811
(225) 573-2778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8941
LA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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