Individual
JUNIPER SARAH ANZIVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1234 DEL ESTE AVE BLDG 3, DENHAM SPRINGS, LA 70726-4828
(225) 243-4667
Mailing address
16038 ALFORD DR, GREENWELL SPRINGS, LA 70739-4503
(225) 284-5465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9933
LA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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