Individual
MARY RICAUD LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2615 NORTH DR, ABBEVILLE, LA 70510
(337) 893-1506
Mailing address
2615 NORTH DR, ABBEVILLE, LA 70510-4042
(337) 893-1506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07360
LA
Other
Enumeration date
04/10/2014
Last updated
03/19/2019
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