Individual
JAMETTE TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 SUMMER LN, WEST MONROE, LA 71291-3501
(318) 396-1969
Mailing address
107 SUMMER LN, WEST MONROE, LA 71291-3501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA5643
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA5643
MASSAGE THERAPY LICENSE
LA
Enumeration date
03/03/2016
Last updated
03/03/2016
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