Individual
MRS. CHARLOTTE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
CENTRAL STATE HOSPITAL - RED RIVER TREATMENT CENTER, UNIT 6, MEADOW LANE, PINEVILLE, LA 71360
(318) 484-6402
(318) 487-5703
Mailing address
108 VALLEY DRIVE, PINEVILLE, LA 71360
(318) 640-4304
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
750494
LA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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