MARY MANCUSO HEAROD, N.P.
Nursing at Enterprise Blvd, Lake Charles, LA

License number
Louisiana AP09122
Category
Nursing
Type
Family
Address
Address 2
2615 Enterprise Blvd SUITE B, Lake Charles, LA 70601
PO Box 122623, Dallas, TX 75312
Phone
(337) 494-4785
(337) 494-4786 (Fax)
(337) 494-3058
(337) 494-2928 (Fax)
National Provider ID: 1144760414
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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