Individual
MONICA EWANSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7000
Mailing address
5737 GENE LN, LAKE CHARLES, LA 70605-8112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
339715
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/23/2023
Last updated
10/03/2024
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