DESIREE ALIS KAVANAUGH

HAMMOND, LA
NPI1275128258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  280475)
Enumeration Date2021-03-02
Last Update Date2021-03-02
Business Address
Ms. DESIREE ALIS KAVANAUGH LPN
615 PRIDE DR
HAMMOND, LA 70401-9523
Phone number: 985-419-1666
Mailing Address
Ms. DESIREE ALIS KAVANAUGH LPN
615 PRIDE DR
HAMMOND, LA 70401-9523
Phone number: 985-419-1666