Individual
MARY COMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3217 CONCORDIA AVE, MONROE, LA 71201-5131
(318) 600-6323
(318) 570-5153
Mailing address
3217 CONCORDIA AVE, MONROE, LA 71201-5131
(318) 600-6323
(318) 570-5153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120619
LA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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