Individual
DESIREE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3308 TULANE AVE, NEW ORLEANS, LA 70119-7100
(504) 826-2063
Mailing address
139 PLEASANT RIDGE DR, BELLE CHASSE, LA 70037-4506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77870
LA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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