Individual
KIMBERLY ANN MAZEROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
327 VINCENT ROAD, LAFAYETTE, LA 70508
(337) 335-8652
Mailing address
7519 SOILEAU RD, NEW IBERIA, LA 70560-7631
(337) 335-8652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9164
LA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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