Individual
MORIAH MCKENNA STROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 E 1ST ST, THIBODAUX, LA 70310-3730
(985) 448-4837
Mailing address
330 MORNING MIST WALK, SUWANEE, GA 30024-3730
(770) 361-0088
(860) 239-8538
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
058123845
GA
Other
Enumeration date
09/14/2015
Last updated
03/17/2018
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