Individual
CARSYN WALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ACADIA PARK DR, RACELAND, LA 70394-2619
(985) 537-7575
Mailing address
1504 MINNESOTA AVE, KENNER, LA 70062-6156
(504) 487-0690
(504) 487-0690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
06/23/2025
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