Individual
MS. DEBRINA ANN BAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
719 ELYSIAN FIELDS AVE, NEW ORLEANS, LA 70117-8511
(504) 942-8101
(504) 942-8242
Mailing address
PO BOX 751184, NEW ORLEANS, LA 70175-1184
(504) 942-8101
(504) 942-8242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN067839
LA
Other
Enumeration date
03/05/2007
Last updated
03/26/2010
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