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: |