KELLY M DERISE

NEW ORLEANS, LA
NPI1427867316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: LA  205692)
Enumeration Date2025-01-06
Last Update Date2025-01-06
Business Address
KELLY M DERISE
1900 GRAVIER ST
NEW ORLEANS, LA 70112-2262
Phone number: 504-568-4106
Mailing Address
KELLY M DERISE
423 OAK MANOR DR
NEW IBERIA, LA 70563-2243
Phone number: 337-380-0161
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