Individual
KEVIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 N VERMONT ST STE J, COVINGTON, LA 70433
(985) 788-8350
Mailing address
70331 L ST, COVINGTON, LA 70433-5296
(985) 788-8350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA-4964
LA
Other
Enumeration date
01/09/2017
Last updated
05/18/2018
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