Individual
AMANDA KEATOR CELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 MARVEL ST, COUSHATTA, LA 71019-9022
(318) 932-2000
Mailing address
4243 PARKRIDGE DR, BENTON, LA 71006-9720
(318) 332-0817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09965
LA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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