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Individual

ALAINA CHRISTINE VAN MOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N. P.

Contact information

Practice address
3916 JACKSON ST, ALEXANDRIA, LA 71303-3007
(318) 445-2223
(318) 445-2573
Mailing address
3916 JACKSON ST, ALEXANDRIA, LA 71303-3007
(318) 445-2223
(318) 445-2573

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP06623
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2166816
LA
Enumeration date
09/07/2011
Last updated
10/11/2022
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