Individual
MRS. NICOLE ANTONIA DU PREEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7723 MISSISSIPPI AVE, BLDG #1561, FT POLK, LA 71459
(337) 531-2020
Mailing address
202 HONEYSUCKLE ST, DERIDDER, LA 70634-4644
(803) 394-8352
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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