Individual
HANNAH ALISE ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
648 CRESTWOOD BLVD, COVINGTON, LA 70433-8261
(985) 805-2555
Mailing address
PO BOX 1469, INDEPENDENCE, LA 70443-1469
(985) 351-5605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
323623
LA
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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