Individual
RONDA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1105 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 470-1185
Mailing address
1105 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5705
(337) 470-1185
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
157613
LA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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