Organization
PELLEGRIN HEALTHCARE LLC
Active
Organization
PELLEGRIN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL MARIE GUSTAFSON LMT (MASSAGE THERAPIST)
(262) 359-0044
Entity
Organization
Contact information
Practice address
522 N NEW HAMPSHIRE ST SPC 9, COVINGTON, LA 70433-2843
(262) 359-0044
Mailing address
12627 HIGHWAY 1078, FOLSOM, LA 70437-3554
(262) 359-0044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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