Individual
CARLA PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6140 PANAMA RD, SORRENTO, LA 70778-3601
(225) 461-9892
Mailing address
6140 PANAMA RD, SORRENTO, LA 70778-3601
(225) 461-9687
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
011402807
LA
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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