Individual
WENDY W KING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1740 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3110
(985) 727-0097
(985) 727-5006
Mailing address
46553 N BAPTIST RD, HAMMOND, LA 70401-4852
(225) 567-6835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01876
LA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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