Individual
MUKTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 375-1111
Mailing address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229483
LA
Other
Enumeration date
03/31/2023
Last updated
08/29/2023
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