RUSSELL V. K. CARSON

MANDEVILLE, LA
NPI1851302996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP04417)
Enumeration Date2006-08-11
Last Update Date2013-09-27
Business Address
-- RUSSELL V. K. CARSON
2915 HIGHWAY 190
MANDEVILLE, LA 70471-3298
Phone number: 985-626-8106
Mailing Address
-- RUSSELL V. K. CARSON
PO BOX 772 MINUTECLINIC CREDENTIALING
WOONSOCKET, RI 02895-0784
Phone number: 401-770-1669
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