Individual
MRS. LATRICIA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14201 HWY. 37, GREENSBURG, LA 70441
(225) 222-3709
Mailing address
PO BOX 34, PLAQUEMINE, LA 70765-0034
(225) 222-3709
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5063
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112077
—
LA
05
—
2125052
—
LA
Enumeration date
10/26/2010
Last updated
10/26/2010
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