Individual
MS. CHRISTA LATHON YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5853 WESTRAY DR, SHREVEPORT, LA 71129-5131
(318) 470-8763
Mailing address
5853 WESTRAY DR, SHREVEPORT, LA 71129-5131
(318) 470-8763
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA2439
LA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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