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Individual

ASHLEE THEVENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 736-1857
Mailing address
3328 IOWA AVE, KENNER, LA 70065-3849
(504) 508-4449

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN135925
LA

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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