Individual
MS. ASHLEY MONIQUE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12278 PLANK ROAD, BATON ROUGE, LA 70811
(225) 775-9406
(225) 775-0258
Mailing address
12278 PLANK ROAD, BATON ROUGE, LA 70811
(225) 775-9406
(225) 775-0258
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978884
—
LA
Enumeration date
01/22/2007
Last updated
01/22/2021
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