TARA HIGGINBOTHAM

MANDEVILLE, LA
NPI1366945388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  227420)
Enumeration Date2018-03-15
Last Update Date2023-01-25
Business Address
TARA HIGGINBOTHAM PMHNP
23699 QUAIL LANE
MANDEVILLE, LA 70448
Phone number: 985-334-4040
Mailing Address
TARA HIGGINBOTHAM PMHNP
23699 QUAIL LANE
MANDEVILLE, LA 70448
Phone number: 985-334-4040
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