LACY NICOLE SANTANA

SLIDELL, LA
NPI1871201756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  11111)
Enumeration Date2022-11-09
Last Update Date2022-11-09
Business Address
LACY NICOLE SANTANA DPT
340 BRAKEFIELD ST
SLIDELL, LA 70458-3620
Phone number: 985-265-7364
Mailing Address
LACY NICOLE SANTANA DPT
74345 ETA AVE
COVINGTON, LA 70435-5410
Phone number: 985-502-9303
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