Individual
DETRIES CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 WOODDALE BLVD, BATON ROUGE, LA 70806-1518
(225) 328-7594
Mailing address
1731 N 41ST ST, BATON ROUGE, LA 70802-1662
(225) 328-7594
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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