Individual
MS. AMANDA ANASTASIA DUPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMMT
Contact information
Practice address
1914 CITIZENS BANK DR, BOSSIER CITY, LA 71111-3423
(318) 780-6560
Mailing address
1914 CITIZENS BANK DR, BOSSIER CITY, LA 71111-3423
(318) 780-6560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4863
LA
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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