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Organization

FLEUR DE LIS FIRST ASSIST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RACHEL N WELLS CSFA/CST (PRESIDENT)
(985) 373-0717
Entity
Organization

Contact information

Practice address
103 CARMEL DR, MANDEVILLE, LA 70448-4128
(985) 373-0717
(985) 727-3259
Mailing address
103 CARMEL DR, MANDEVILLE, LA 70448-4128
(985) 373-0717
(985) 727-3259

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145863
NATIONAL CSFA CERTIFICATE#
Enumeration date
02/28/2014
Last updated
02/28/2014
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