CARESSA ELZIA KAOUGH

LAKE CHARLES, LA
NPI1154629558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20102567)
Enumeration Date2011-03-09
Last Update Date2011-03-09
Business Address
-- CARESSA ELZIA KAOUGH
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
Mailing Address
-- CARESSA ELZIA KAOUGH
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022