Individual
KAYLA MOUCH RICHOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
(225) 267-6626
Mailing address
610 N JEFFERSON AVE, PORT ALLEN, LA 70767-2414
(225) 267-6626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09741
LA
Other
Enumeration date
01/13/2018
Last updated
01/20/2020
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