Individual
MARY ANN SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
905 MICKEY GILLEY AVE, FERRIDAY, LA 71334-2619
(318) 757-6271
(318) 757-7654
Mailing address
4626 HIGHWAY 565, JONESVILLE, LA 71343-5545
(318) 757-6271
(318) 757-7654
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN063002
LA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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