Individual
MS. DOMINIQUE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1400 ROYAL AVE, MONROE, LA 71201-5608
(318) 323-7246
(318) 323-7265
Mailing address
1400 ROYAL AVE, MONROE, LA 71201-5608
(318) 323-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9190
LA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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