Individual
NICOLE VEAL TUESNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4704 STEARNES STREET, BATON ROUGE, LA 70811-0000
(225) 337-9558
Mailing address
6700 OUIDA IRONDALE RD, LOT 1, WEYANOKE, LA 70787-0000
(225) 287-1849
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240702
LA
Other
Enumeration date
12/04/2014
Last updated
12/22/2014
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