Individual
MRS. ASHLEY PERRONNE DIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
333 PENNSYLVANIA AVE, SLIDELL, LA 70458-2739
(985) 641-5914
(985) 641-6397
Mailing address
444 E REDBUD DR, SLIDELL, LA 70458-5476
(985) 788-5682
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
137073
LA
Other
Enumeration date
05/09/2022
Last updated
05/13/2022
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