GERONNA MARTIN LEONARDS

LAFAYETTE, LA
NPI1417217860
Former NameGERONNA DEIDRE MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  AP06812)
Enumeration Date2012-05-19
Last Update Date2012-05-19
Business Address
-- GERONNA MARTIN LEONARDS NP
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 770-874-5439
Mailing Address
-- GERONNA MARTIN LEONARDS NP
205 LAKE COVE RD
RAYNE, LA 70578-7679
Phone number: 337-334-2525
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