Individual
MRS. ASHLEY MATURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT LA#3935
Contact information
Practice address
142 WINDERMERE CIR, YOUNGSVILLE, LA 70592-5633
(337) 254-0222
Mailing address
142 WINDERMERE CIR, YOUNGSVILLE, LA 70592-5633
(337) 254-0222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3935
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3935
LOUISIANA MASSAGE LICENSE NUMBER
LA
Enumeration date
07/11/2022
Last updated
07/11/2022
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