Individual
MRS. MELINDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
587 ORIOLE RD, MIDLAND, LA 70559-1804
(337) 788-0461
(337) 788-0462
Mailing address
587 ORIOLE RD, MIDLAND, LA 70559-1804
(337) 788-0461
(337) 788-0462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7907
LA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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