Individual
NICOLE ANN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 TULANE AVE # 8055, NEW ORLEANS, LA 70112-2632
(503) 707-1095
Mailing address
1430 TULANE AVE # 8055, NEW ORLEANS, LA 70112-2632
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/24/2022
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