Provider Demographics
NPI:1073221867
Name:ROCHON, ANGELICA LYNN (CNA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:LYNN
Last Name:ROCHON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 EULA DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6049
Mailing Address - Country:US
Mailing Address - Phone:337-991-4372
Mailing Address - Fax:
Practice Address - Street 1:209 EULA DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6049
Practice Address - Country:US
Practice Address - Phone:337-991-4372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care