Individual
DONNA G MCMICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
112 VERSAILLES BLVD STE C, ALEXANDRIA, LA 71303-2672
(318) 561-0916
Mailing address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
(318) 445-7745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
870364
LA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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