Individual
MRS. DENISE ANGELICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S JEFFERSON AVE, COVINGTON, LA 70433-3137
(985) 892-3021
Mailing address
427 VIREO DR, MANDEVILLE, LA 70448-6126
(985) 869-2000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
077027
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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