Individual
MISS THERENCE TAMIKO MARSHALL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COLLEGE DR, UNIT#97, BATON ROUGE, LA 70808-1861
(225) 636-7178
(225) 647-2200
Mailing address
2100 COLLEGE DR, UNIT#97, BATON ROUGE, LA 70808-1861
(225) 636-7178
(225) 647-2200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
07220572
LA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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