Individual
ALIYYAH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
433 METAIRIE RD STE 106, METAIRIE, LA 70005-4324
(504) 835-7554
Mailing address
2221 RICHLAND AVE APT 361, METAIRIE, LA 70001-1648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8252
LA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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