Organization
AVID HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLIE LA'TASHA MABRY FNP-C (FNP-C)
(228) 627-1223
Entity
Organization
Contact information
Practice address
109 NEWSOM DRVE, HOUMA, LA 70360
(985) 228-6072
Mailing address
109 NEWSOM DRVE, HOUMA, LA 70360
(985) 228-6072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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