Individual
MRS. MEREDITH K FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
114 CENTRAL LAFOURCHE DR, RACELAND, LA 70394-2543
(985) 532-6658
Mailing address
114 CENTRAL LAFOURCHE DRIVE, RACELAND, LA 70394
(985) 532-6658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4285
LA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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