Individual
MS. ANNIE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 METAIRIE RD, METAIRIE, LA 70005-4333
(504) 920-7404
Mailing address
5632 BOUTALL ST, METAIRIE, LA 70003-2028
(504) 920-7404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA3231
LA
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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