Individual
MRS. KIMBERLY J POLK FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 HOUMA BLVD APT 116, METAIRIE, LA 70001-1334
(504) 518-0619
Mailing address
2600 HOUMA BLVD APT 116, METAIRIE, LA 70001-1334
(504) 518-0619
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
002937288
LA
Other
Enumeration date
08/03/2021
Last updated
08/17/2021
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