Individual
STACEY MICHEL FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 JACKSON ST STE C, ALEXANDRIA, LA 71301-4066
(985) 859-7853
Mailing address
320 ANTIETAM DR, BOSSIER CITY, LA 71112-4793
(318) 308-1171
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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