Most Relevant Information
Provider Data
| NPI Number: | 1003460395 |
| Provider Name: | MARQUITA MELISSA CUNNINGHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2019 |
| Last Updated: | 11/18/2019 |
Provider Practice Location
1003 HUGH WALLIS RD S
LAFAYETTE
LA
705082528
Practice Location Phone/Fax
| Phone: | 3372054444 |
| Fax: |
Provider Mailing Location
4700 WICHERS DR STE 105
MARRERO
LA
700723054
Provider Mailing Phone/Fax
| Phone: | 5043837448 |
| Fax: | 5043837448 |