Individual
RONALD E BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
826 FOCIS ST, METAIRIE, LA 70005-2200
(504) 456-8560
(504) 456-8562
Mailing address
826 FOCIS ST, METAIRIE, LA 70005-2200
(504) 456-8560
(504) 456-8562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2931
LA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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