Individual
MRS. CHASLIE JAMELLE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
2445 E. MILTON AVE, YOUNGSVILLE, LA 70592-2445
(337) 652-1737
Mailing address
2445 E. MILTON AVE, YOUNGSVILLE, LA 70592-2445
(337) 652-1737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9325
LA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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