Individual
MRS. KEESHA R GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 GAUSE BLVD, SLIDELL, LA 70458-2800
(985) 326-8501
Mailing address
106 ALBERU ST, SLIDELL, LA 70460-2543
(210) 667-0553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272449
LA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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