Individual
MRS. KERSHUNDALA W O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
170 W WASHINGTON ST, BATON ROUGE, LA 70802-7655
(225) 389-6697
(225) 389-6702
Mailing address
170 W WASHINGTON ST, BATON ROUGE, LA 70802-7655
(225) 389-6697
(225) 389-6702
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
250914
LA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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