Individual
KECHAWNA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KECHAWNA GREEN , LMT
Contact information
Practice address
3109 COMMON ST STE 102, LAKE CHARLES, LA 70601-8575
(337) 802-0238
Mailing address
3109 COMMON ST STE 102, LAKE CHARLES, LA 70601-8575
(337) 802-0238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9174
LA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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