Individual
MR. DARIC DESHAWN BASS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CPT, CES.
Contact information
Practice address
126 BELLEAUWOOD CIRCLE, 126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA 70037
(504) 228-9137
Mailing address
671 ROSA AVE STE 211, METAIRIE, LA 70005-2831
(504) 355-6550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7594
LA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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