Individual
MICHELLE LATESSA HARRELL PIPPINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(318) 417-7780
(318) 728-1140
Mailing address
114 INEICHEN ST, RAYVILLE, LA 71269-3223
(318) 417-7780
(318) 728-1140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
980251
LA
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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