Individual
WANDA KAREN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CR, LMT, CMM
Contact information
Practice address
12357 HAYNES ST., CLINTON, LA 70722-3717
(985) 507-7617
Mailing address
PO BOX 663, GREENSBURG, LA 70441-0663
(985) 507-7617
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
3985
LA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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