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Individual

STACEY N CHALIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
501 MANHATTAN BOULEVARD, HARVEY, LA 70058
(504) 349-7673
Mailing address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 232-1105

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60145
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1701033
LA
Enumeration date
11/29/2021
Last updated
10/03/2022
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