Individual
CRISSY DEVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
Mailing address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10045
LA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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