Individual
FELICIA CARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41012 VILLA CT S, GONZALES, LA 70737-8941
(225) 253-1797
Mailing address
41012 VILLA CT S, GONZALES, LA 70737-8941
(225) 253-1797
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
11/24/2020
Last updated
11/24/2020
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