Individual
MISS JOSTEN NISHAN MILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 S BURNSIDE AVE TRLR 218, GONZALES, LA 70737-4629
(225) 450-4883
Mailing address
2228 S BURNSIDE AVE TRLR 218, GONZALES, LA 70737-4629
(225) 450-4883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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