Individual
MISS AMANDA MARIA AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51539 SIMMONS RD, LORANGER, LA 70446-2447
(985) 247-1344
(985) 878-3869
Mailing address
51539 SIMMONS RD, LORANGER, LA 70446-2447
(985) 247-1344
(985) 878-3869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5636
LA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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