Provider Demographics
NPI:1245095975
Name:PAUL, DARLENE ANN
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:ANN
Last Name:PAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 WESTMERE ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2232
Mailing Address - Country:US
Mailing Address - Phone:504-723-2818
Mailing Address - Fax:
Practice Address - Street 1:2224 WESTMERE ST
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2232
Practice Address - Country:US
Practice Address - Phone:504-723-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver