Individual
DIARA D WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 STUMPF BLVD BLDG 7, TERRYTOWN, LA 70056
(844) 864-7834
Mailing address
917 BEECHGROVE BLVD APT M, WESTWEGO, LA 70094-3816
(504) 435-0037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912384017
—
LA
Enumeration date
12/06/2017
Last updated
05/31/2018
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