Individual
MRS. MELISSA DUTCHESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
615 PRIDE DR, HAMMOND, LA 70401-9523
(985) 419-1666
Mailing address
677 W MCCLELLAN ST, PONCHATOULA, LA 70454-3854
(504) 427-2969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
970766
LA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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