PHYLLIS G PETERSON

BELLE CHASSE, LA
NPI1366703019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: LA  2065)
Enumeration Date2012-05-30
Last Update Date2014-06-13
Business Address
-- PHYLLIS G PETERSON NP
103 DR. BOWEN ST.
BELLE CHASSE, LA 70037
Phone number: 504-392-3392
Mailing Address
-- PHYLLIS G PETERSON NP
103 DR. BOWEN ST.
BELLE CHASSE, LA 70037
Phone number: 504-392-3392
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