Individual
MARILYN MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1402 S 5TH ST STE A, LEESVILLE, LA 71446-4929
(337) 353-6086
Mailing address
1402 S 5TH ST STE A, LEESVILLE, LA 71446-4929
(337) 353-6086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3541
LA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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