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Individual

LATEEFAH HILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
8674 QUARTERS LAKE RD # 7, BATON ROUGE, LA 70809-2172
(225) 454-0950
Mailing address
10033 E POMONA DR, BATON ROUGE, LA 70815-1369
(225) 454-0950

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
LA-5181
LA
225700000X
Massage Therapist
Primary
LA-5181
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224102
AMERICAN MASSAGE THERAPY ASSOCIATION
01
LA-5181
LOUISIANA BOARD OF MASSAGE THERAPY
LA
Enumeration date
01/31/2020
Last updated
01/31/2020
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