LATINA PETRESS GAINES

ALEXANDRIA, LA
NPI1740928787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20120421)
Enumeration Date2022-05-20
Last Update Date2022-05-20
Business Address
LATINA PETRESS GAINES LPN
4606 LEE ST
ALEXANDRIA, LA 71302-3235
Phone number: 318-441-1105
Mailing Address
LATINA PETRESS GAINES LPN
108 E SHAMROCK AVE
PINEVILLE, LA 71360-6552
Phone number: 318-955-2962