Individual
KEIOSHA PLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58725 BELLEVIEW DR, SUITE A-7, PLAQUEMINE, LA 70764-3948
(225) 205-1227
Mailing address
28268C HIGHWAY 405, PLAQUEMINE, LA 70764-7900
(225) 205-1227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4929-01
LA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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