Individual
PATRICIA IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 WAGLEY LN, BLDG B, OPELOUSAS, LA 70570-6736
(337) 942-4497
Mailing address
122 WAGLEY LN, BLDG B, OPELOUSAS, LA 70570-6736
(337) 942-4497
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
000000000000
LA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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