Individual
MRS. MADELIENE H. STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST,CFA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-6610
Mailing address
32849 FOXRUN DR, WALKER, LA 70785-5749
(225) 667-2227
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
—
—
246ZC0007X
Surgical Assistant
Primary
151352
LA
246ZS0410X
Surgical Technologist
97658
LA
Other
Enumeration date
08/27/2007
Last updated
03/19/2019
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