DEANNA FREDERICKS HARLESS

LAKE CHARLES, LA
NPI1407852288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  RN054166 AP03616)
Enumeration Date2005-06-24
Last Update Date2009-12-16
Business Address
-- DEANNA FREDERICKS HARLESS ACNP
1614 WOLF CIR
LAKE CHARLES, LA 70605-2348
Phone number: 337-478-9653
Mailing Address
-- DEANNA FREDERICKS HARLESS ACNP
PO BOX 1786
LAKE CHARLES, LA 70602-1786
Phone number: 337-478-9653
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