Individual
MRS. CHERMAINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7132
(504) 394-0626
Mailing address
2831 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7132
(504) 394-0626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
46354
LA
Other
Enumeration date
03/13/2014
Last updated
12/10/2014
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