Individual
SHATECA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 LAPALCO BLVD, HARVEY, LA 70058-5739
(504) 733-0254
Mailing address
5606 JEFFERSON HWY, HARAHAN, LA 70123-5111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9934
LA
Other
Enumeration date
12/05/2023
Last updated
12/07/2023
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