Individual
CORTLYNN CAVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 S ARCENEAUX AVE, GONZALES, LA 70737-3874
(504) 275-4666
Mailing address
1332 S ARCENEAUX AVE, GONZALES, LA 70737-3874
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20160016
LA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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