Individual
ELAINE DENISE POULLARD-EDWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(318) 417-7780
Mailing address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(318) 417-7780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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