Individual
MELISSA KAY FANGUY-FOLSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1620 LIVINGSTON ST, MANDEVILLE, LA 70448-5340
(985) 626-8842
Mailing address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 898-3297
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN111854
LA
Other
Enumeration date
05/09/2022
Last updated
05/16/2022
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