Individual
DAMITA LYNN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 620-2192
Mailing address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 620-2192
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
LA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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