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Individual

PRECIOUS KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8550 UNITED PLAZA BLVD STE 702, BATON ROUGE, LA 70809-0200
(985) 603-7885
Mailing address
2321 CENTANNI DR, SAINT BERNARD, LA 70085-5811

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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