Individual
MRS. MELISSA MAE KANOUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 CEZANNE DR, RAYNE, LA 70578-2744
(412) 289-9773
Mailing address
107 CEZANNE DR, RAYNE, LA 70578-2744
(412) 289-9773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9510
LA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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