Individual
SUSAN EISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S MILITARY RD, SLIDELL, LA 70461-2616
(985) 641-3557
(985) 649-1367
Mailing address
107 WALES CT, SLIDELL, LA 70461-4169
(985) 285-2342
(985) 649-1367
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN114538
LA
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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