Individual
MRS. ATHENA PORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4619 SAINT GERARD AVE, BATON ROUGE, LA 70805-3044
(225) 356-4192
Mailing address
4619 SAINT GERARD AVE, BATON ROUGE, LA 70805-3044
(225) 356-4192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN053296
LA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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