Individual
NICHOLAS RAYMOND PRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
86 JOE IVERSTINE PL, HAMMOND, LA 70401-2386
(985) 237-2670
Mailing address
86 JOE IVERSTINE PL, HAMMOND, LA 70401-2386
(985) 237-2670
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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