Healthcare Provider Details

I. General information

NPI: 1376883678
Provider Name (Legal Business Name): YNOHTNA MARKETTA TUREAUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2013
Last Update Date: 02/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8233 JOHN LEBLANC
SORRENTO LA
70778
US

IV. Provider business mailing address

PO BOX 434
SORRENTO LA
70778-0434
US

V. Phone/Fax

Practice location:
  • Phone: 225-675-8558
  • Fax: 225-675-8558
Mailing address:
  • Phone: 225-675-8558
  • Fax: 225-675-8558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: