Individual
CHERRICA S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2405 LINE AVE, SHREVEPORT, LA 71104-3019
(318) 828-1517
(318) 828-1685
Mailing address
2405 LINE AVE, SHREVEPORT, LA 71104-3019
(318) 828-1517
(318) 828-1685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8244
LA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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