CHARLISSA WHITTED

LAKE CHARLES, LA
NPI1982294807
Former NameCHARLISSA BOYD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20120941)
Enumeration Date2021-01-25
Last Update Date2021-01-25
Business Address
CHARLISSA WHITTED LPN
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: 337-263-3792
Mailing Address
CHARLISSA WHITTED LPN
7494 COLUMBIA DR
LAKE CHARLES, LA 70605-0286
Phone number: 337-794-0113