Individual
MRS. VANEESA M. QUAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,BSN
Contact information
Practice address
216 EVANGELINE ST, DERIDDER, LA 70634-4251
(337) 463-4486
(337) 462-2486
Mailing address
216 EVANGELINE ST., P.O.BOX 327, DERIDDER, LA 70634
(337) 463-4486
(337) 462-2486
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN08555
LA
Other
Enumeration date
07/25/2012
Last updated
07/14/2016
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