Individual
CHIQUITA K ROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8946 INTERLINE AVE STE A, BATON ROUGE, LA 70809-1913
(225) 615-7282
Mailing address
26407 MILLSTONE DR, DENHAM SPRINGS, LA 70726-6561
(225) 610-0849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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