Individual
JADE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7711 JORDAN ST, MAURICE, LA 70555-3382
(337) 704-7212
Mailing address
7711 JORDAN ST, MAURICE, LA 70555-3382
(337) 704-7212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8320
LA
225700000X
Massage Therapist
85888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8320
MASSAGE LICENSE
LA
01
—
85888
MASSAGE LICENSE
CA
Enumeration date
06/14/2021
Last updated
06/14/2021
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