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MINDY MANZELLA QUAINTANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
4228 HOUMA BLVD STE 410, METAIRIE, LA 70006-3021
(504) 883-3770
(504) 883-3711
Mailing address
4300 HOUMA BLVD STE 204, METAIRIE, LA 70006-2924
(504) 503-7000
(504) 503-6730

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
212077
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212077
NURSE PRACTITIONER LICENSE
LA
Enumeration date
05/29/2020
Last updated
05/29/2020
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