Individual
KIMBERLY BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
503 N MAIN ST, MARKSVILLE, LA 71351-2430
(318) 240-7770
Mailing address
503 N MAIN ST, MARKSVILLE, LA 71351-2430
(318) 240-7770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1678
LA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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