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Individual

MRS. TRACEY D CREDEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1029 CAPITOL AVE, CROWLEY, LA 70526-5509
(337) 788-7507
(337) 788-7577
Mailing address
1029 CAPITOL AVE, CROWLEY, LA 70526-3227
(337) 788-7507
(337) 788-7577

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN094855
LA

Other

Enumeration date
06/13/2012
Last updated
08/16/2016
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