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Individual

MECCA HUNTER DAIGRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
7777 HENNESSY BLVD STE 8001, BATON ROUGE, LA 70808-4300
(225) 490-7224
(225) 766-0416
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN113939-AP06253
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2142305
LA
Enumeration date
11/17/2010
Last updated
08/25/2021
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