Individual
CHRISTINA DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 COLONIAL DR STE 6, BATON ROUGE, LA 70806-6549
(225) 246-2162
Mailing address
3964 GOURRIER AVE APT 319, BATON ROUGE, LA 70808-4488
(225) 281-3918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20150816
LA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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