STACEY W. BOUDOIN

MANDEVILLE, LA
NPI1861459794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  RN072251)
Enumeration Date2006-04-26
Last Update Date2018-03-17
Business Address
STACEY W. BOUDOIN NP
635 LAFITTE ST STE B
MANDEVILLE, LA 70448-5269
Phone number: 985-624-5305
Mailing Address
STACEY W. BOUDOIN NP
635 LAFITTE ST STE B
MANDEVILLE, LA 70448-5269
Phone number: 985-624-5305
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