Individual
CELEST MCGONAGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
923 E ACADEMY AVE, JENNINGS, LA 70546-4910
(337) 370-1482
Mailing address
923 E ACADEMY AVE, JENNINGS, LA 70546-4910
(337) 370-1482
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA5471
LA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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