Individual
KRISTIN GOBER MAGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 MASSENA ST, MANDEVILLE, LA 70448-4895
(985) 626-3950
(985) 674-0886
Mailing address
519 MASSENA ST, MANDEVILLE, LA 70448-4895
(985) 626-3950
(985) 674-0886
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN138699
LA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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