Dr. Princess Charles, MST
Case Manager/Care Coordinator in Lafayette, LA. Individual provider (NPI-1).
NPI number1699458992
StatusActive
Last updated in NPPESAug 11, 2023
Details
- NPI
- 1699458992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Princess Charles
- Credential
- MST
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2023
- Certification date
- Aug 11, 2023
- Last updated
- Aug 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
407 Toronto DrLafayette, LA 70507-4111
Phone 832-954-3329
Mailing address
407 Toronto DrLafayette, LA 70507-4111
Phone 832-954-3329
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