Individual
MISS KAMARIA LIANI BLAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
17051 RICHMOND DR, PRAIRIEVILLE, LA 70769-4860
(225) 588-9477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09778
LA
Other
Enumeration date
02/06/2018
Last updated
01/14/2021
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