Individual
MARY DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 MEMORY LN, STONEWALL, LA 71078-9468
(318) 220-6447
Mailing address
512 MEMORY LN, STONEWALL, LA 71078-9468
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
012534283
LA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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