ALISHA BOUDREAUX

LAKE CHARLES, LA
NPI1922416841
Former NameALISHA SHANNON BURRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  AP07984)
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- ALISHA BOUDREAUX
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
Mailing Address
-- ALISHA BOUDREAUX
2903 1ST AVE
LAKE CHARLES, LA 70601-8809
Phone number: 337-478-6480
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