Individual
MIKALA MARINDA CLARK BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5600 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70131-7247
(504) 394-5991
Mailing address
420 LISKA ST, WESTWEGO, LA 70094-2157
(504) 256-1502
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
208951
LA
163WW0000X
Wound Care Registered Nurse
Primary
208951
LA
163WX1500X
Ostomy Care Registered Nurse
208951
LA
Other
Enumeration date
03/13/2024
Last updated
03/12/2026
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