Individual
TARA MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 ACADIA ST, KENNER, LA 70065-1044
(504) 812-6988
Mailing address
22 ACADIA ST, KENNER, LA 70065-1044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN114074
LA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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