Individual
ANISHIA N ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMT PRACTIONER
Contact information
Practice address
911 RIDGEPOINT CT, BATON ROUGE, LA 70810-2898
(225) 605-5857
Mailing address
7516 BLUEBONNET BLVD, BATON ROUGE, LA 70810-1627
(225) 605-5857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9158
LA
Other
Enumeration date
08/22/2019
Last updated
03/03/2023
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