Individual
MS. BERTHA PAIGE MONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN058886
Contact information
Practice address
2632 HIGHWAY 1, LABADIEVILLE, LA 70372-2045
(985) 526-1699
(985) 526-6796
Mailing address
312 CAVANESS DR, HOUMA, LA 70364-2201
(985) 872-0790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN058886
LA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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