Individual
MRS. MARVIDA GONSOULIN-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 W WILLOW ST # A, LAFAYETTE, LA 70501-2837
(337) 262-5616
(337) 262-1310
Mailing address
220 W WILLOW ST, LAFAYETTE, LA 70501-2837
(337) 262-5616
(337) 262-1310
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
53129
LA
Other
Enumeration date
06/15/2012
Last updated
07/13/2012
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