Individual
CYNTHIA ELLEN VARISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14628 BRETON DR, BATON ROUGE, LA 70816-1211
(225) 892-0372
Mailing address
14628 BRETON DR, BATON ROUGE, LA 70816-1211
(225) 892-0372
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
54272
LA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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