Individual
MARISOL BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 GAUSE BLVD E STE 301, SLIDELL, LA 70461-5434
(985) 639-3777
Mailing address
29 YELLOWBIRD LN, PICAYUNE, MS 39466-7703
(601) 347-5111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229508
LA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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