EVA LOIS ULLOM

DERIDDER, LA
NPI1275829566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP06502)
Enumeration Date2011-06-24
Last Update Date2011-06-24
Business Address
-- EVA LOIS ULLOM RN, FNP-C
325 W 8TH ST
DERIDDER, LA 70634-5505
Phone number: 337-463-3387
Mailing Address
-- EVA LOIS ULLOM RN, FNP-C
2186 BALL RD
DERIDDER, LA 70634-6656
Phone number: 337-463-3766