Individual
MYRAIA FLUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N INTERSTATE 10 SERVICE ROAD, METARIE, LA 70006
(188) 888-0927
Mailing address
324 WALLACE DR, NEW ORLEANS, LA 70122-3031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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