Individual
MELISSA LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11609 LA HWY 699, MAURICE, LA 70555-3602
(337) 898-1491
Mailing address
11609 LA HWY 699, MAURICE, LA 70555-3602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
930104
LA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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