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Individual

SUNITA PANNACHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2220 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 704-0001
Mailing address
3920 GREENPOINT AVE APT 3N, SUNNYSIDE, NY 11104-4525

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
207283
LA

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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