Individual
MONIQUE SORAPURU COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
473 CENTRAL AVE, RESERVE, LA 70084-5509
(985) 536-2128
(985) 536-8997
Mailing address
3135 HIGHWAY 18, EDGARD, LA 70049-2515
(504) 458-3978
(985) 497-8685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN043187
LA
163WC1500X
Community Health Registered Nurse
Primary
RN043187
LA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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