Individual
RENE LAMOUREUX IPPOLITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 E CLAIREMONT AVE, EAU CLAIRE, WI 54701-6479
(715) 855-0408
(715) 855-0409
Mailing address
7377 NORTH SHORE DR, EAU CLAIRE, WI 54703
(715) 894-8149
(715) 855-0409
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4776-146
WI
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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