Individual
JAMIE ANNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3511 RIVER RD STE B, JEFFERSON, LA 70121-4162
(504) 234-9182
Mailing address
709 RIO VISTA AVE, JEFFERSON, LA 70121-2342
(504) 234-9182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8674
LA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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