Individual
MRS. LUEMILY PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., LMT
Contact information
Practice address
111 FREESTATE BLVD STE 110, SHREVEPORT, LA 71107-6540
(318) 773-6230
Mailing address
111 FREESTATE BLVD STE 110, SHREVEPORT, LA 71107-6540
(318) 773-6230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA0631
LA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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