Individual
MISS AMANDA LYNN BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1525 LAPALCO BLVD STE 12, HARVEY, LA 70058-5738
(504) 227-0272
Mailing address
465 OAK ST, MARRERO, LA 70072-1216
(504) 296-0599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7078
LA
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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