Doctor Name: | MRS. MARGARITA HERNANDEZ KELLER |
NPI Number: | 1083985576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | LA-5154 |
Business Practice Address: | 2908 Alana Ln Marrero, LA - 700726559 |
Business Phone Number: | 5042966218 |
Business Fax Number: | |
Mailing Address: | 2908 Alana Ln, MARRERO |
State: | LA |
Postal Code: | 700726559 |
Phone Number: | 5042966218 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2012 |
NPI Last Update Date: | 01/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | LA-5154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |