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Individual

ALISA TERRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1116 STUMPF BLVD, GRETNA, LA 70053-3612
(504) 325-7928
Mailing address
2524 ELM LAWN DR # A, MARRERO, LA 70072-5444
(210) 865-7982

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156606
LA
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
01/17/2020
Last updated
01/17/2020
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