Individual
MICHAEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1 SANCTUARY BLVD STE 306, MANDEVILLE, LA 70471-3309
(985) 273-0730
Mailing address
1 SANCTUARY BLVD STE 306, MANDEVILLE, LA 70471-3309
(985) 273-0730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5901
LA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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