Individual
MRS. GLENDA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
105 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 238-6431
(337) 238-7070
Mailing address
PO BOX 273, HORNBECK, LA 71439-0273
(337) 353-5055
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240716
LA
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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