THERESA TARVER BACON

WEST MONROE, LA
NPI1124351614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: LA  rn032877)
Enumeration Date2009-09-15
Last Update Date2009-09-15
Business Address
-- THERESA TARVER BACON rn
1416 NATCHITOCHES ST
WEST MONROE, LA 71292-3751
Phone number: 318-362-5430
Mailing Address
-- THERESA TARVER BACON rn
1416 NATCHITOCHES ST
WEST MONROE, LA 71292-3751
Phone number: 318-362-5430
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