Individual
BREANA R CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12090 S HARRELLS FERRY RD STE P, BATON ROUGE, LA 70816-2470
(225) 278-6324
Mailing address
1133 FOREST OAKS DR, BATON ROUGE, LA 70815-2358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8233
LA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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