Johnnetta Virginia Beverly CNA

NPI 1306022447 - Nurse's Aide - 376K00000X

NPI Details
NPI 1306022447
Gender Female
Enumeration Date 01/19/2008
Last Updated 01/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
737 WRIGHT AVE
GRETNA LA, 70056-4156, US
Phone (504) 638-1318
Fax (504) 362-0950
Business Location
737 WRIGHT AVE
GRETNA LA, 70056-4156, US
Phone (504) 638-1318
Fax (504) 362-0950
Toxanomy
Taxonomy Code 376K00000X
License State Louisiana
License Number 41365
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According to our database, Miss Johnnetta Virginia Beverly CNA NPI is 1306022447, taxonomy code is 376K00000X and license number is 41365, license state is located at Louisiana. Johnnetta Virginia Beverly CNA physically located at 737 Wright Ave, Gretna LA, 70056-4156. NPI Number Johnnetta Virginia Beverly CNA has the Individual type.

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1306022447 NPI number is provided on an as is basis without warranty of any kind. 1306022447 is maintained by the National Plan & Provider Enumeration System. The contents of Johnnetta Virginia Beverly CNA are for informational purposes only.