Individual
MRS. TRACEY GIRARD MAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 487-1122
Mailing address
1339 LAKE DR, WOODWORTH, LA 71485-7915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09383
LA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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