Individual
MR. COREY NAKIA VALDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2145 REVEREND RICHARD WILSON DR, KENNER, LA 70062-7661
(504) 472-0068
(504) 472-0078
Mailing address
2145 REVEREND RICHARD WILSON DR, KENNER, LA 70062-7661
(504) 472-0068
(504) 472-0078
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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