Individual
JOHN DIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
121 TIVOLI ST, ABBEVILLE, LA 70510-5173
(337) 893-0788
(337) 893-0787
Mailing address
121 TIVOLI ST, ABBEVILLE, LA 70510-5173
(337) 893-0788
(337) 893-0787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07767
LA
Other
Enumeration date
04/01/2014
Last updated
01/17/2017
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