Individual
VANESSA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8544 SCOTLAND AVE, BATON ROUGE, LA 70807-4615
(225) 774-4008
Mailing address
8544 SCOTLAND AVE, BATON ROUGE, LA 70807-4615
(225) 774-4008
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
L75550918
LA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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