Individual
DONNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 568-3130
Mailing address
13135 CHERBOURG ST, NEW ORLEANS, LA 70129-1307
(504) 355-9470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
800807
LA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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