Individual
DIAMOND FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 COLONIAL DR, BATON ROUGE, LA 70806
(225) 292-5151
Mailing address
422 COLONIAL DR, BATON ROUGE, LA 70806-6505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
05/31/2018
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