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Individual

ALICE E STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.F.A.

Contact information

Practice address
15790 PAUL VEGA MD DR, OPERATING ROOM / SURGERY DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-6610
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-6610
(985) 230-1617

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
39501
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085296
CRNFA
LA
Enumeration date
01/10/2012
Last updated
01/10/2012
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