Individual
CARMEN C. O'MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
284A DUMMYLINE RD, MADISONVILLE, LA 70447-9690
(985) 773-4739
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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