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Individual

WENDY RENEE MARCANTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(131) 862-5705
(318) 625-7197
Mailing address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(131) 862-5705
(318) 625-7197

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
075163
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0575163
LICENSE
LA
Enumeration date
07/15/2022
Last updated
07/15/2022
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