Individual
CAROL VERCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
(318) 443-3311
Mailing address
3446 MASONIC DR, ALEXANDRIA, LA 71301-3615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A8168
LA
Other
Enumeration date
09/02/2011
Last updated
12/20/2012
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