Individual
STACY EDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7357 CHERRYDALE DR, DENHAM SPRINGS, LA 70706-1956
(225) 277-2022
Mailing address
7357 CHERRYDALE DR, DENHAM SPRINGS, LA 70706-1956
(225) 277-2022
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
LA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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