Individual
MS. DAYNESSES ELIZABETH CLUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LPN
Contact information
Practice address
2229 MOSS ST, LAFAYETTE, LA 70501-2123
(337) 739-4006
Mailing address
PO BOX 92052, LAFAYETTE, LA 70509-2052
(337) 739-4006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20110126
LA
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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