Individual
JNAI MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E 26TH ST, RESERVE, LA 70084-5123
(504) 864-1233
Mailing address
410 E 26TH ST, RESERVE, LA 70084-5123
(504) 864-1233
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
320537
LA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
About Stedi
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