Individual
DONNA C MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-8022
Mailing address
909 5TH ST, LAKE CHARLES, LA 70601-6201
(337) 433-1809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN078403
LA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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