RENNIE MIRA

ALEXANDRIA, LA
NPI1083949440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  01111F)
Enumeration Date2009-10-02
Last Update Date2009-10-02
Business Address
Mr. RENNIE MIRA
2006 GUS KAPLAN DR
ALEXANDRIA, LA 71301-3376
Phone number: 318-487-5020
Mailing Address
Mr. RENNIE MIRA
2006 GUS KAPLAN DR
ALEXANDRIA, LA 71301-3376
Phone number: 318-487-5020
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