Individual
AMANDA M DEVEREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4628 DEMONTLUZIN ST, NEW ORLEANS, LA 70122-6104
(504) 655-1819
(504) 655-1819
Mailing address
4628 DEMONTLUZIN ST, NEW ORLEANS, LA 70122-6104
(504) 655-1819
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN118307
LA
174400000X
Specialist
RN118307
LA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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