Individual
DION M GASPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
157 N 4TH ST, PONCHATOULA, LA 70454-2509
(985) 507-4160
Mailing address
157 N 4TH ST, PONCHATOULA, LA 70454-2509
(985) 507-4160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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