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NPI Code Detail

MEDICARE: JUNIPER SARAH ANZIVINO LMT

MEDICARE:   JUNIPER SARAH ANZIVINO  LMT
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 TherapistLA9933LA

General Provider Information

NPI Number : 1922843713
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNIPER SARAH ANZIVINO LMT
Provider Business Mailing Address
First Line : 16038 ALFORD DR
Second Line :
City : GREENWELL SPRINGS
State : LA
Zip : 70739-4503
Country : US
Telephone Number : 225-284-5465
Fax Number :
Provider Business Practice Location Address
First Line : 1234 DEL ESTE AVE BLDG 3
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-4828
Country : US
Telephone Number : 225-243-4667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2024
Last Update Date : 06/25/2024

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Directions to “ JUNIPER SARAH ANZIVINO LMT” Practice Location

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