NPI 1598262883

Ebony Roussell

Practitioner Driver Marrero, LA

Practice location

Address: 931 Carmadelle St, Marrero, LA 70072-2641
Phone: (504) 510-7951

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1598262883
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2018
Record last updated: 12 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.