Individual
MR. JOSHUA RYAN GAUTREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8448 SIEGEN LN, BATON ROUGE, LA 70810-1938
(225) 757-0164
Mailing address
1901 JERLYN DR, DENHAM SPRINGS, LA 70726-5105
(225) 337-6623
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
LA7039
LA
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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