Individual
REBECCA GUIDRY DANTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23363 S ROBIN RD, MANDEVILLE, LA 70448-7381
(985) 624-4100
(985) 624-4123
Mailing address
PO BOX 37, MANDEVILLE, LA 70470-0037
(985) 624-4100
(985) 624-4123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
960733
LA
324500000X
Substance Abuse Rehabilitation Facility
Primary
2203782723
LA
Other
Enumeration date
10/27/2016
Last updated
03/06/2024
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