Individual
CINNAMIN MARCHALL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18018 SMALLEN DR, ZACHARY, LA 70791-8236
(225) 610-7735
Mailing address
18018 SMALLEN DR, ZACHARY, LA 70791-8236
(225) 610-7735
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
011505013
LA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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