MICHAEL KINGMAN VAIL

METAIRIE, LA
NPI1992168520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: LA  RN085565)
Enumeration Date2016-03-31
Last Update Date2016-03-31
Business Address
Mr. MICHAEL KINGMAN VAIL
3838 N CAUSEWAY BLVD
METAIRIE, LA 70002-8194
Phone number: 985-727-8012
Mailing Address
Mr. MICHAEL KINGMAN VAIL
604 CASEY DR
MANDEVILLE, LA 70471-6722
Phone number: 985-845-3080
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