Individual
TANGELA H LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6765 CORPORATE BLVD APT 9104, BATON ROUGE, LA 70809-1084
(985) 402-1808
Mailing address
6765 CORPORATE BLVD APT 9104, BATON ROUGE, LA 70809-1084
(469) 658-9710
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
060014
LA
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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