Individual
HENRY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24255 CLIFTMERE AVE, PLAQUEMINE, LA 70764-4602
(919) 302-5767
Mailing address
24255 CLIFTMERE AVE, PLAQUEMINE, LA 70764-4602
(919) 302-5767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
05/23/2022
Last updated
05/23/2022
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