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Individual

EKARA N WAFER-MENDENHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
611 W 2ND ST, HOMER, LA 71040-3221
(318) 265-4542
(318) 550-4271
Mailing address
611 W 2ND ST, HOMER, LA 71040-3221
(318) 265-4542
(318) 550-4271

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07981
LA
363LF0000X
Family Nurse Practitioner
RN125342
LA

Other

Enumeration date
07/18/2014
Last updated
12/26/2024
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