Individual
LUKE ALPHONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 PORT ARTHUR TER, LEESVILLE, LA 71446-4600
(337) 377-0477
(337) 239-1062
Mailing address
1108 PORT ARTHUR TER, LEESVILLE, LA 71446-4600
(337) 377-0477
(337) 239-1062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LAMT6960
LA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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