Individual
NICCOLE MICHELE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 N 44TH ST, BATON ROUGE, LA 70802-1114
(504) 309-2045
Mailing address
4000 ROSE ST APT 2205, CHALMETTE, LA 70043-2083
(510) 292-1067
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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