Individual
ROSE MARIE CREECY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 YORKTOWNE DR, LA PLACE, LA 70068-2321
(504) 202-5384
Mailing address
2401 YORKTOWNE DR, LA PLACE, LA 70068-2321
(504) 202-5384
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007528367
LA
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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