Individual
MAUREEN ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3100 KINGMAN ST STE 103, METAIRIE, LA 70006-5419
(504) 313-6502
Mailing address
2117 VETERANS MEMORIAL BLVD # 313, METAIRIE, LA 70002-6321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9063
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA9063
MASSAGE THERAPY LICENSE
LA
Enumeration date
10/18/2021
Last updated
10/18/2021
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