Individual
KRISTEN PEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W ASH ST, PONCHATOULA, LA 70454-3436
(985) 386-9734
Mailing address
1745 SW RAILROAD AVE, HAMMOND, LA 70403-6150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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