Individual
LISA-MAREE BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 BON TEMPS ROULE, 8C, MANDEVILLE, LA 70471-2558
(561) 251-6399
Mailing address
207 BON TEMPS ROULE, APT 8C, MANDEVILLE, LA 70471
(561) 251-6399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7719
LA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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