Individual
DARLENE MICHELLE FIRMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 BLEU LAKE DR, COVINGTON, LA 70435-8407
(985) 237-0988
Mailing address
54 BLEU LAKE DR, COVINGTON, LA 70435-8407
(985) 237-0988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4445
LA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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