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Individual

PORSHA NANLAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4202 N I-10 SERVICE RD W. METAIRIE, METAIRIE, LA 70006
(877) 418-2978
Mailing address
2920 S MONTEREY CT APT D, GRETNA, LA 70056-4650
(504) 239-9747

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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