Individual
MRS. CAROLL GORMAN-SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
#2 DOMINICAN RD., LAPLACE, LA 70068
(985) 224-2391
(985) 224-2392
Mailing address
P.O. BOX 115, LORANGER, LA 70446
(985) 224-2391
(985) 224-2392
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
SIL20188
LA
3747P1801X
Personal Care Attendant
Primary
PCA15259
LA
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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