Individual
MRS. KELLI GUILLORY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
17846 JEFFERSON RIDGE DR, BATON ROUGE, LA 70817-9534
(225) 278-9696
Mailing address
17846 JEFFERSON RIDGE DR, BATON ROUGE, LA 70817-9534
(225) 278-9696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN130155
LA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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