Individual
TERESA IRENE PACE POUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 GOLDEN PHEASANT DR, SLIDELL, LA 70461-3117
(985) 290-8750
(985) 643-5873
Mailing address
103 GOLDEN PHEASANT DR, SLIDELL, LA 70461-3117
(985) 290-8750
(985) 643-5873
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN105995
LA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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