Individual
BREMACHA LAGUERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
390 AMERICAN WAY # WAY5, WEIRTON, WV 26062-4087
(304) 224-2495
Mailing address
390 AMERICAN WAY # WAY5, WEIRTON, WV 26062-4087
(304) 224-2495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012330
PA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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