ALICE C BLUE

BOSSIER CITY, LA
NPI1477986255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP07412)
Enumeration Date2013-08-15
Last Update Date2021-05-21
Business Address
ALICE C BLUE APRN
800 CHINABERRY DRIVE
BOSSIER CITY, LA 71111
Phone number: 318-349-6774
Mailing Address
ALICE C BLUE APRN
800 CHINABERRY DRIVE
BOSSIER CITY, LA 71111-2165
Phone number: 318-734-9677
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