Individual
MRS. JENNIFER MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 E SAINT PETER ST, CARENCRO, LA 70520-4008
(337) 520-2505
Mailing address
101 E SAINT PETER ST, CARENCRO, LA 70520-4008
(337) 520-2505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
E4815
LA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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