Individual
KADIJA YVETTE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 FERRAND ST STE 23, MONROE, LA 71201-3233
(318) 323-0463
(318) 323-0465
Mailing address
2404 FERRAND ST STE 23, MONROE, LA 71201-3233
(318) 323-0463
(318) 323-0465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4701066
—
LA
Enumeration date
12/19/2019
Last updated
12/19/2019
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