Individual
ANDRELETA HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 GRAVIER ST, NEW ORLEANS, LA 70119-7523
(504) 339-4498
Mailing address
2311 GRAVIER ST, NEW ORLEANS, LA 70119-7523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20110771
LA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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