Individual
CHANELLE DEQUINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-4332
(312) 351-2210
Mailing address
1239 CARONDELET ST, NEW ORLEANS, LA 70130-4319
(312) 351-2210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8365
LA
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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