Individual
VALENCIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5636 E JUDGE PEREZ DR STE F, VIOLET, LA 70092-2946
(504) 708-9431
Mailing address
2208 MUNSTER BLVD, MERAUX, LA 70075-2410
(504) 708-9431
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
10/03/2023
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