Individual
SPANCINA PEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 TURTLE CREEK LN, SAINT ROSE, LA 70087-3829
(504) 495-9388
Mailing address
517 TURTLE CREEK LN, SAINT ROSE, LA 70087-3829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN142919
LA
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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