Individual
MRS. TRACEY ANN POYDRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 W SHAMROCK ST., UNIT 6 MEADOW LANE, PINEVILLE, LA 71360-0188
(318) 484-6400
(318) 487-5703
Mailing address
242 W SHAMROCK ST., UNIT 6 MEADOW LANE, PINEVILLE, LA 71360-0188
(318) 484-6400
(318) 487-5703
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
241048
LA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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