ALEXIS BLACK

LULING, LA
NPI1649943937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  221427)
Enumeration Date2021-08-01
Last Update Date2021-08-20
Business Address
Ms. ALEXIS BLACK CNP
1057 PAUL MAILLARD RD STE D-1900
LULING, LA 70070-4349
Phone number: 985-785-3668
Mailing Address
Ms. ALEXIS BLACK CNP
209 E PIN OAK DR
SAINT ROSE, LA 70087-3239
Phone number: 504-554-3034