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Individual

MS. TANNIE ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
648 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
(337) 332-4878
(337) 332-4866
Mailing address
648 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
(337) 332-4878
(337) 332-4866

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96155
LA

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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