Individual
MRS. PATRICIA MONCADA PERTUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17494 CHERRY CREEK DR, PRAIRIEVILLE, LA 70769-5775
(402) 305-7015
Mailing address
17494 CHERRY CREEK DR, PRAIRIEVILLE, LA 70769-5775
(402) 305-7015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141097
LA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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