Individual
CHARLA ANN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1809 W AIRLINE HWY, LA PLACE, LA 70068-3336
(985) 652-8444
(985) 651-6649
Mailing address
1809 W AIRLINE HWY, LA PLACE, LA 70068-3336
(985) 652-8444
(985) 651-6649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
910505
LA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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