Individual
MARY OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 GROVE PARK, LA PLACE, LA 70068-6296
(504) 756-3517
(985) 359-1530
Mailing address
193 GROVE PARK, LA PLACE, LA 70068-6296
(504) 756-3517
(985) 359-1530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
220412
LA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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