Most Relevant Information
Provider Data
| NPI Number: | 1003290123 |
| Provider Name: | PHOEBE RAE PLAISANCE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 010686233 |
Most Important Dates
| Enumeration Date: | 07/18/2015 |
| Last Updated: | 07/18/2015 |
Provider Practice Location
1336 HICKORY AVE.
APT. C
HARAHAN
LA
70123
Practice Location Phone/Fax
| Phone: | 5048740499 |
| Fax: |
Provider Mailing Location
1336 HICKORY AVE APT C
HARAHAN
LA
701232153
Provider Mailing Phone/Fax
| Phone: | 5048740499 |
| Fax: |