Individual
MICHAEL JAMES DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
433 METAIRIE RD, SUITE 106, METAIRIE, LA 70005-4333
(504) 835-7554
Mailing address
719 SEVERN AVE, METAIRIE, LA 70001-5150
(504) 256-3013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6879
LA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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