Individual
JANN MARIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
332 COLONIAL CT, MANDEVILLE, LA 70471-8908
(985) 626-5600
Mailing address
332 COLONIAL CT, MANDEVILLE, LA 70471-8908
(985) 626-5600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1522
LA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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