TIA KELLER

ZACHARY, LA
NPI1689262560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20130840)
Enumeration Date2021-01-06
Last Update Date2021-01-06
Business Address
TIA KELLER LPN
2415 WAYWOOD STREET
ZACHARY, LA 70791
Phone number: 225-372-5107
Mailing Address
TIA KELLER LPN
2415 WAYWOOD STREET
ZACHARY, LA 70791
Phone number: 225-372-5107