Individual
DELEREE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 HENDEE ST, NEW ORLEANS, LA 70114-6149
(504) 496-1834
Mailing address
2016 HENDEE ST, NEW ORLEANS, LA 70114-6149
(504) 496-1834
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
9003
LA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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