Individual
TAMIKA PHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8762 QUARTERS LAKE RD, BATON ROUGE, LA 70809-7300
(225) 276-7080
Mailing address
9627 W TAMS DR, BATON ROUGE, LA 70815-8963
(225) 276-7080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA5683
LA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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