Individual
MS. ESSIE MAY ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 RAINBOW DR, 242 W SHAMROCK STREET, PINEVILLE, LA 71360-6449
(318) 484-6469
(318) 484-6228
Mailing address
2637 7TH ST, ALEXANDRIA, LA 71302-5908
(318) 445-6686
(318) 484-6228
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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