ALICE EDMAISTON

LAKE CHARLES, LA
NPI1942975016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  221771)
Enumeration Date2021-08-11
Last Update Date2021-08-11
Business Address
ALICE EDMAISTON FNP-C
4150 NELSON RD STE 2
LAKE CHARLES, LA 70605-4148
Phone number: 337-475-8949
Mailing Address
ALICE EDMAISTON FNP-C
PO BOX 1426
IOWA, LA 70647-1426
Phone number: 337-391-9246