Individual
KEYONNA CHAVONTREL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W PINHOOK RD STE 211, LAFAYETTE, LA 70503-2499
(337) 345-8576
Mailing address
1001 W PINHOOK RD STE 211, LAFAYETTE, LA 70503-2499
(337) 345-8576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9417
LA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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