Individual
FERRIN ALYSE BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Mailing address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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