Individual
MARY MARGARET PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
54016 HIGHWAY 1062, LORANGER, LA 70446-3538
(985) 606-9000
(985) 878-9568
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
204072
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204072
RN LICENSE
LA
Enumeration date
03/08/2021
Last updated
03/08/2021
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