Individual
MR. CLIFTON E CUMBERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CLMT
Contact information
Practice address
433 METAIRIE RD STE 106, METAIRIE, LA 70005-4324
(504) 835-7554
Mailing address
1720 ELISE AVE, METAIRIE, LA 70003-3604
(504) 909-6149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5145
LA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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