Individual
SUSANNAH HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 POLK ST, MANSFIELD, LA 71052-2524
(318) 575-2143
Mailing address
PO BOX 306416, NASHVILLE, TN 37230-6416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208255
LA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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