Individual
CELESTE BAKER DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1330 S RANGE AVE, DENHAM SPRINGS, LA 70726
(225) 664-2189
Mailing address
1330 S RANGE AVE, DENHAM SPRINGS, LA 70726-4810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1850-784AT
LA
Other
Enumeration date
06/30/2017
Last updated
05/27/2021
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