MARY MANCUSO HEAROD

LAKE CHARLES, LA
NPI1144760414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP09122)
Enumeration Date2017-03-06
Last Update Date2022-04-27
Business Address
MARY MANCUSO HEAROD N.P.
2770 3RD AVE STE 345
LAKE CHARLES, LA 70601-8994
Phone number: 337-494-4785
Mailing Address
MARY MANCUSO HEAROD N.P.
PO BOX 122623 DEPT 2623
DALLAS, TX 75312-2623
Phone number: 337-494-2921
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