Individual
RICKETTA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11400 LA HIGHWAY 1033, DENHAM SPRINGS, LA 70726-7042
(225) 667-1808
Mailing address
40451 AUGUSTIN AVE, PRAIRIEVILLE, LA 70769-5868
(225) 270-6170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130016
LA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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