Individual
ALICIA DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 E MAIN ST, BRUSLY, LA 70719-2215
(225) 931-0082
Mailing address
822 EAST MAIN ST, BRUSLY, LA 70719
(318) 359-1766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8219
LA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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