Individual
MRS. PEARLIE B FLUGENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
4444
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1131369
PROVIDER NUMBER
LA
Enumeration date
05/10/2007
Last updated
07/08/2007
Update your record
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