Individual
MS. ANIKA LATYSE CHARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 STERLINGTON RD APT 3, MONROE, LA 71203-2545
(318) 537-4799
(318) 323-6230
Mailing address
100 RAVENWOOD CT, MONROE, LA 71202-7250
(318) 537-4799
(318) 323-6230
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
ECH36469072K
LA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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