Individual
KISSEY SMITH PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 CLIO ST APT A, NEW ORLEANS, LA 70125-2343
(504) 457-9767
Mailing address
7021 MARTIN DR, NEW ORLEANS, LA 70126-2963
(504) 457-9767
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
006915060
LA
Other
Enumeration date
12/26/2017
Last updated
11/08/2023
About Stedi
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