DESIRAE NICOLLE VIDAURRI

NEW ORLEANS, LA
NPI1073041026
Former NameDESRIAE NICOLLE BOLDT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: VA  0810005697)
Enumeration Date2017-06-02
Last Update Date2017-06-02
Business Address
DR. DESIRAE NICOLLE VIDAURRI PHD
2400 CANAL ST
NEW ORLEANS, LA 70119-6535
Phone number: 504-507-2000
Mailing Address
DR. DESIRAE NICOLLE VIDAURRI PHD
144 ELK PL APT 1507
NEW ORLEANS, LA 70112-2636
Phone number: 512-538-8051