Individual
ANTONIETTE KILLOUGH NORALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11445 REIGER RD, BATON ROUGE, LA 70809-4556
(225) 361-2933
Mailing address
12451 PARKWOOD DR, BATON ROUGE, LA 70815-6629
(225) 803-1490
(225) 319-4403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280496
LA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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