Organization
KINGDOM GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DERRICKA MARIE GRIFFIN (PRESIDENT)
(504) 577-8791
Entity
Organization
Contact information
Practice address
1401 W ESPLANADE AVE, KENNER, LA 70065-2845
(985) 250-0385
Mailing address
PO BOX 10102, NEW ORLEANS, LA 70181-0102
(504) 577-8791
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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