Individual
MS. MARION P FAVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 PONCHARTRAIN DR, SLIDELL, LA 70458-4329
(985) 641-1195
(985) 641-1193
Mailing address
401 PONCHARTRAIN DR, SLIDELL, LA 70458-4329
(985) 641-1195
(985) 641-1193
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
NOT REQUIRED IN LA
—
156FX1800X
Optician
Primary
—
LA
Other
Enumeration date
02/07/2007
Last updated
03/10/2023
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