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NPI Code Detail

MEDICARE: MRS. EVELYN MARY DEHOYOS L.M.T.

MEDICARE:  MRS. EVELYN MARY DEHOYOS  L.M.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist3838LA

General Provider Information

NPI Number : 1043406390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVELYN MARY DEHOYOS L.M.T.
Provider Business Mailing Address
First Line : 2228 ETHEL ST
Second Line :
City : SULPHUR
State : LA
Zip : 70665-7815
Country : US
Telephone Number : 337-515-0708
Fax Number :
Provider Business Practice Location Address
First Line : 2228 ETHEL ST
Second Line :
City : SULPHUR
State : LA
Zip : 70665-7815
Country : US
Telephone Number : 337-515-0708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2007
Last Update Date : 04/12/2011

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Directions to “ MRS. EVELYN MARY DEHOYOS L.M.T.” Practice Location

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