| NPI | 1508314477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA DILLON Massage Therapist 985-969-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 4569) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-22 |