Individual
MRS. JULIE COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HOLM OAK LN, MANDEVILLE, LA 70471-2600
(504) 905-7471
Mailing address
400 HOLM OAK LN, MANDEVILLE, LA 70471-2600
(504) 905-7471
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4586
LA
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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