Individual
TIFFANY RENEE SCHNABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1603 BOONE ST, LEESVILLE, LA 71446-5270
(910) 391-1138
Mailing address
113 KALINA ST, FORT JOHNSON, LA 71459-3562
(910) 391-1138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9960
LA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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