Individual
ARIEL STATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5550 THOMAS RD, BATON ROUGE, LA 70811-7370
(225) 774-2141
(225) 774-2143
Mailing address
1117 DANIELS ST, BAKER, LA 70714-3505
(225) 281-4096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20100084
LA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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