Individual
MISS HALEY NICOLE BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CERTIFIED ROLFE
Contact information
Practice address
143 RIDGEWAY DR, LAFAYETTE, LA 70503-3414
(318) 717-3176
Mailing address
5349 HIGHWAY 107 S, PLAUCHEVILLE, LA 71362-2396
(318) 717-3176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7804
LA
Other
Enumeration date
08/21/2017
Last updated
03/17/2018
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