Individual
VICTORIA MAE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 PRIDE DR, HAMMOND, LA 70401-9523
(985) 419-1666
(985) 429-8999
Mailing address
615 PRIDE DR, HAMMOND, LA 70401-9523
(985) 419-1666
(985) 429-8999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30004171
LA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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