Individual
DESHANNA NICOLE TRUDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2132 KILLINGTON DR, HARVEY, LA 70058-5423
(504) 344-4385
Mailing address
2132 KILLINGTON DR, HARVEY, LA 70058-5423
(504) 344-4385
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210483
LA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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