TATJANA MICHELE MIMES

OPELOUSAS, LA
NPI1295376374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  207499)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
TATJANA MICHELE MIMES CPNP
3975 I 49 S SERVICE RD STE 201
OPELOUSAS, LA 70570-0775
Phone number: 337-407-2795
Mailing Address
TATJANA MICHELE MIMES CPNP
3975 I 49 S SERVICE RD STE 201
OPELOUSAS, LA 70570-0775
Phone number: 337-407-2795