Individual
MRS. CASEY L ILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
3922 HIGHWAY 26, DERIDDER, LA 70634-7256
(337) 375-6482
Mailing address
3922 HIGHWAY 26, DERIDDER, LA 70634-7256
(337) 375-6482
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
339306
LA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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