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Individual

MRS. PEGGY ROBERTSON VARNADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST,CFA

Contact information

Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403
(985) 230-6610
Mailing address
20225 GUM SWAMP RD, LIVINGSTON, LA 70754-4813
(225) 698-9208

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
97659

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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