Individual
HOLLY SUE ANNE DELATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
13504 CHASE ST, GONZALES, LA 70737-6091
(225) 910-0630
Mailing address
13504 CHASE ST, GONZALES, LA 70737-6091
(225) 910-0630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07071
LA
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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