Individual
BONNIE AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3706 MAIN ST, BELLE CHASSE, LA 70037-3002
(504) 394-3510
(504) 393-0437
Mailing address
PO BOX 61979, NEW ORLEANS, LA 70161-1979
(225) 342-7867
(225) 342-0886
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN114964
LA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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