Individual
ANGEL FAITH GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
115 THIRD EMANUEL ST, BRIDGE CITY, LA 70094-3309
(504) 515-2917
Mailing address
115 THIRD EMANUEL ST, BRIDGE CITY, LA 70094-3309
(504) 515-2917
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
CNA
—
Enumeration date
01/29/2019
Last updated
01/29/2019
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