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Individual

ROLANDA MINGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DM PRACTITIONER

Contact information

Practice address
62761 WILBUR DILLON RD, ANGIE, LA 70426-1811
(985) 335-0549
Mailing address
62761 WILBUR DILLON RD, ANGIE, LA 70426-1811
(985) 335-0549

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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