KELLIE MATTINGLY SMITH

MARRERO, LA
NPI1467113027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  223687)
Enumeration Date2022-01-05
Last Update Date2022-07-29
Business Address
KELLIE MATTINGLY SMITH
5001 WESTBANK EXPY STE 100
MARRERO, LA 70072-2954
Phone number: 504-349-8833
Mailing Address
KELLIE MATTINGLY SMITH
3212 RUE MARCELLE ST.
MERAUX, LA 70075
Phone number: 504-259-6120
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