Individual
MS. EVELYN GAIL BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2116 N BOLTON AVE, ALEXANDRIA, LA 71303-4405
(318) 445-1250
(318) 445-1493
Mailing address
PO BOX 157, CHENEYVILLE, LA 71325-0157
(318) 792-1084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
800034
LA
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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