Individual
MS. TERRY MARIE ENRIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
433 METAIRIE RD, METAIRIE, LA 70005-4333
(504) 835-7554
Mailing address
560 TERRACE ST, JEFFERSON, LA 70121-1516
(504) 435-5309
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7860
LA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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