Individual
KEYOKA TRINISE DEMOURELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 HOLIDAY PL, NEW ORLEANS, LA 70114-1844
(504) 496-1900
Mailing address
1435 HOLIDAY PL, NEW ORLEANS, LA 70114-1844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113091
LA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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