Organization
LOUISIANA INCONCTINENCE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY ROSS DUOS N.P. (OWNER)
(337) 349-4836
Entity
Organization
Contact information
Practice address
2200 GREEN VALLEY RD, VILLE PLATTE, LA 70586-7462
(337) 349-4836
(337) 506-2010
Mailing address
2200 GREEN VALLEY RD, VILLE PLATTE, LA 70586-7462
(337) 349-4836
(337) 506-2010
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05285
LA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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