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NPI Code Detail

MEDICARE: MRS. VERONICA ELPHAGE

MEDICARE:  MRS. VERONICA  ELPHAGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1342000000XTransportation Network Company008333273LA

General Provider Information

NPI Number : 1225794878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERONICA ELPHAGE
Provider Business Mailing Address
First Line : 22640 TIMBER RIDGE DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-8841
Country : US
Telephone Number : 225-993-9366
Fax Number :
Provider Business Practice Location Address
First Line : 22640 TIMBER RIDGE DR
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-8841
Country : US
Telephone Number : 225-993-9366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2021
Last Update Date : 11/09/2021

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Directions to “ MRS. VERONICA ELPHAGE ” Practice Location

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