Individual provider · NPI-1

Marleshia Antoine

Technician, Attendant Care Provider · Lafayette, LA

NPI number1366072977
StatusActive
Last updated in NPPESMar 20, 2024

Details

NPI
1366072977
Entity type
Individual (NPI-1)
Name
Marleshia Antoine
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2020
Certification date
Mar 20, 2024
Last updated
Mar 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes
175T00000X Peer Specialist––

Practice location

315 S College Rd # 252
Lafayette, LA 70503-3212

Phone 337-376-5063

Mailing address

315 S College Rd # 252
Lafayette, LA 70503-3212

Phone 337-356-5063

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