Individual
ALYSIA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 CAROLYN SUE DR, BATON ROUGE, LA 70815-5509
(225) 928-9398
Mailing address
1945 CAROLYN SUE DR, BATON ROUGE, LA 70815-5509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
EN020074
LA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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