Individual
MS. LINDA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 WEST SHAMROCK STREET UNIT 1, PINEVILLE, LA 71360
(318) 484-6230
Mailing address
PO BOX 7473, ALEXANDRIA, LA 71306-0473
(318) 484-6230
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
840629
LA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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