Individual
LATISHA RENEE STALLING-CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NEMT
Contact information
Practice address
16934 KENTON AVE, GREENWELL SPRINGS, LA 70739-5231
(225) 367-0282
Mailing address
16934 KENTON AVE, GREENWELL SPRINGS, LA 70739-5231
(225) 367-0282
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
010055766
LA
376K00000X
Nurse's Aide
296420
LA
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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