Individual
MARY ALICE TINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BC, CNOR, LMT
Contact information
Practice address
11015 PERKINS RD, BATON ROUGE, LA 70810-3286
(225) 278-6844
Mailing address
11015 PERKINS RD, BATON ROUGE, LA 70810-3286
(225) 278-6844
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5859
LA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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