Individual
THERESA LYNETTE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5172 ROCK DR, SULPHUR, LA 70665-9220
(337) 794-1810
Mailing address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
121159
LA
163WH0200X
Home Health Registered Nurse
RN121159
LA
Other
Enumeration date
02/26/2018
Last updated
03/17/2018
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