Wallace, Raymond

Wallace, Raymond is an individual health care provider with primary practice located at 23861 South Robin Rd , Mandeville LA 70448. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Wallace, Raymond can be contacted via phone (985) 624-4100.

Contact Information

Primary practice address
23861 South Robin Rd Mandeville LA 70448
Phone: (985) 624-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 20101002 Louisiana

Profile Details

NPI number 1568821874
LBN Legal business name Wallace, Raymond
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Feb 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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