Individual
DEVON POGWIZD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2761 E MILTON AVE STE B4, YOUNGSVILLE, LA 70592-6702
(337) 210-3399
Mailing address
2761 E MILTON AVE STE B4, YOUNGSVILLE, LA 70592-6702
(337) 210-3399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7535
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA7534
STATE LICENSE NUMBER
LA
Enumeration date
11/30/2020
Last updated
11/30/2020
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