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Organization

THE CLINIC OF WELSH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVONNE HEBERT KRIELOW A.P.R.N., B.C. (NURSE PRACTITIONER)
(337) 734-4500
Entity
Organization

Contact information

Practice address
7533 HIGHWAY 90, ROANOKE, LA 70581-3505
(337) 753-2579
(337) 753-2468
Mailing address
7533 HIGHWAY 90, ROANOKE, LA 70581-3505
(337) 734-4500
(337) 734-4400

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN066886
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1141046
LA
Enumeration date
04/18/2008
Last updated
04/30/2008
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