Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1921 KALISTE SALOOM RD STE 2, LAFAYETTE, LA 70508-6182
(337) 889-7711
Mailing address
PO BOX 556, PINE PRAIRIE, LA 70576-0556
(337) 889-7711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA10020
LA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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