KIMBERLY WALL COLSTON

ALEXANDRIA, LA
NPI1730687138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  214710)
Enumeration Date2018-01-31
Last Update Date2020-07-27
Business Address
KIMBERLY WALL COLSTON PMHNP
108 CONSTITUTION DR
ALEXANDRIA, LA 71303-3521
Phone number: 318-704-0640
Mailing Address
KIMBERLY WALL COLSTON PMHNP
108 CONSTITUTION DR
ALEXANDRIA, LA 71303-3521
Phone number: 318-704-0640
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