Organization
ROSALES CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLI D SHOWS (OFFICE MANAGER)
(318) 338-3585
Entity
Organization
Contact information
Practice address
104 CONTEMPO AVE, WEST MONROE, LA 71291-7366
(318) 338-3585
(318) 338-3588
Mailing address
104 CONTEMPO AVE, WEST MONROE, LA 71291-5312
(318) 807-1360
(318) 807-1364
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN070425 AP03721
LA
Other
Enumeration date
05/18/2007
Last updated
01/07/2009
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