Individual
CATHY PAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4463 SYCAMORE ST, BATON ROUGE, LA 70805-2960
(225) 590-4417
Mailing address
4463 SYCAMORE ST, BATON ROUGE, LA 70805-2960
(225) 590-4417
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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