Individual
KANDY C TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11146 VILLAGE GREEN DR, GREENWELL SPRINGS, LA 70739-5438
(225) 933-2893
Mailing address
11146 VILLAGE GREEN DR, GREENWELL SPRINGS, LA 70739-5438
(225) 933-2893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA6942
LA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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