Individual
MONICA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 990-5475
(337) 990-5476
Mailing address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
061957
LA
Other
Enumeration date
08/20/2015
Last updated
02/27/2020
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