Individual
MISS MARILYNN A MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2913 DESIARD STREET, MONROE, LA 71201
(318) 651-9914
(318) 388-0948
Mailing address
2913 BETIN AVE, MONROE, LA 71201-7257
(318) 388-1250
(318) 388-0948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN053965
LA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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