Individual
HENRY JOSEPH BRUZEAU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3215 CYPRESS ST, WEST MONROE, LA 71291-5204
(318) 557-4467
Mailing address
113 BETTY LN, WEST MONROE, LA 71291-7568
(318) 557-4467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3551
LA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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