Individual
MRS. CHARLOTTE DUPUY PRUDHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24145 COATS RD, SPRINGFIELD, LA 70462-8119
(225) 294-3306
Mailing address
24145 COATS RD, SPRINGFIELD, LA 70462-8119
(225) 294-3306
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN089942
LA
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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