Individual
DARAH HEREFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35708 LIBERTY DR, SLIDELL, LA 70460-5842
(985) 643-8593
Mailing address
35708 LIBERTY DR, SLIDELL, LA 70460-5842
(985) 643-8593
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN134209
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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