Doctor Name: | MRS. MARCELLA JOY SNOW |
NPI Number: | 1063620045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN, IBCLC, RLC |
License Number: | RN041082 |
Business Practice Address: | 151 Camillia Cir Ruston, LA - 712703089 |
Business Phone Number: | 3182511148 |
Business Fax Number: | |
Mailing Address: | 151 Camillia Cir, RUSTON |
State: | LA |
Postal Code: | 712703089 |
Phone Number: | 3182511148 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | RN041082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |