Individual
MS. ALISA PICOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16061 DOCTORS BLVD, HAMMOND, LA 70403-1499
(985) 542-1334
Mailing address
52212 DITTA DR, LORANGER, LA 70446-2249
(985) 320-9048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203532
LA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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