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Individual

MS. MICHELLE MARIE LE BLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2007 CLEARVIEW PKWY, METAIRIE, LA 70001-2404
(504) 456-9296
(504) 456-9799
Mailing address
4612 ALEXANDER DR, METAIRIE, LA 70003-2810
(504) 495-7302

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2024
LA
225700000X
Massage Therapist
Primary
LA2024
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MICH2012
BLUE CROSS
LA
Enumeration date
10/23/2017
Last updated
10/23/2017
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