Individual
MRS. DANIELLE DIXON JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
42195 HWY 931, GONZALES, LA 70737-1346
(225) 324-1908
Mailing address
30906 GOLDENROD ST, DENHAM SPRINGS, LA 70726-1346
(225) 324-1908
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4113-01
LA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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