Individual
ANGELA CHAUNTELL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5235 KNIGHT DR, ZACHARY, LA 70791-2563
(225) 268-2765
Mailing address
5235 KNIGHT DR, ZACHARY, LA 70791-2563
(225) 268-2765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100077
LA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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