Individual
KRYSTAL DOWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 DEREK LN, LA PLACE, LA 70068-8400
(504) 666-6996
Mailing address
86 DEREK LN, LA PLACE, LA 70068-8400
(504) 666-6996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN118982
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/17/2017
Last updated
01/17/2019
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