Individual
COREY VINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 S CHESTNUT ST, HAMMOND, LA 70403-4301
(985) 662-5347
(985) 662-5350
Mailing address
509 S CHESTNUT ST, HAMMOND, LA 70403-4301
(985) 662-5347
(985) 662-5350
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
10583
LA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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