Individual
TAKARA NICHELLE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9618 JEFFERSON HWY, STE. D-202, BATON ROUGE, LA 70809-9636
(225) 394-6968
Mailing address
9618 JEFFERSON HWY, STE. D-202, BATON ROUGE, LA 70809-9636
(225) 394-6968
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
000123074
LA
Other
Enumeration date
01/28/2016
Last updated
02/02/2016
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