Individual
ABIGAIL COQUILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INSURANCE PRODUCER
Contact information
Practice address
313 CENTRAL AVE STE B, LAUREL, MS 39440-3915
(601) 551-7064
Mailing address
313 CENTRAL AVE STE B, LAUREL, MS 39440-3915
(601) 551-7064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11379
NV
225700000X
Massage Therapist
Primary
3497
MS
225700000X
Massage Therapist
95305
FL
Other
Enumeration date
08/17/2023
Last updated
03/30/2026
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