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Individual

RIKKI DARCEY WEEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 898-4493

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207763
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2329952
LA
Enumeration date
03/20/2013
Last updated
06/15/2016
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