Individual
MILDRED 71027 HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 OUTLAW RIDING CLUB RD, FRIERSON, LA 71027
(318) 564-5833
Mailing address
219 OUTLAW RIDING CLUB RD, FRIERSON, LA 71027
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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