Individual
MRS. BAYPHONE FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
302 DULLES DR, LAFAYETTE, LA 70506-3008
(337) 262-4100
(337) 262-1146
Mailing address
105 TRENTON DR, YOUNGSVILLE, LA 70592-5824
(337) 856-9494
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN062154
LA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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