Individual
MRS. SANDRA SMITH WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3549 NELSON ST, ZACHARY, LA 70791-3620
(225) 304-3270
Mailing address
3549 NELSON ST, ZACHARY, LA 70791-3620
(225) 304-3270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA5111
LA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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