Individual
MISS HEATHER ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-0434
Mailing address
6113 ALEXANDER LN, LONG BEACH, MS 39560-9732
(228) 234-6995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
307505
LA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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