Individual
KOI BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 JACKSON RD, PONCHATOULA, LA 70454-8643
(504) 875-6164
Mailing address
299 JACKSON RD, PONCHATOULA, LA 70454-8643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30001565
LA
164W00000X
Licensed Practical Nurse
346237
NY
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
About Stedi
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