EMILY POWELL

PONCHATOULA, LA
NPI1861846149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: LA  310263)
Additional Taxonomies207ND0101X Dermatology MOHS-Micrographic Surgery
(Licence: LA  310263)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-22
Last Update Date2021-03-29
Business Address
EMILY POWELL MD
180 N 5TH ST
PONCHATOULA, LA 70454-2532
Phone number: 405-816-3825
Mailing Address
EMILY POWELL MD
180 N 5TH ST
PONCHATOULA, LA 70454-2532
Phone number: