Individual
NIESHA B MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 S 8TH ST, MONROE, LA 71202-2902
(314) 799-3524
Mailing address
1010 S 8TH ST, MONROE, LA 71202-2902
(314) 799-3524
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4352787-001
LA
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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