Individual
MRS. TIFFANY T LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8166 MAIN ST, HOUMA, LA 70360-3404
(985) 873-4141
Mailing address
8166 MAIN ST, HOUMA, LA 70360-3404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152316
LA
363L00000X
Nurse Practitioner
Primary
221498
LA
Other
Enumeration date
06/17/2021
Last updated
09/17/2021
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