Individual
MR. ALEX ANTHONY PICOU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
300 MARINERS PLAZA DR STE 305, MANDEVILLE, LA 70448-6829
(985) 209-8036
Mailing address
300 MARINERS PLAZA DR STE 305, MANDEVILLE, LA 70448-6829
(985) 209-8036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9391
LA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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