Individual
MR. J J ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4701 BLUEBONNET BLVD, SUITE B, BATON ROUGE, LA 70809-9635
(225) 291-2626
(225) 291-2628
Mailing address
15076 PALM POINTE AVE, GONZALES, LA 70737-9998
(225) 622-0201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA2069-01
LA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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