Individual
MISS KRISTII NORMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39345 BROOKFIELD DR, PONCHATOULA, LA 70454-4877
(985) 981-7673
Mailing address
39345 BROOKFIELD DR, PONCHATOULA, LA 70454-4877
(985) 981-7673
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
880702
LA
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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