Search › Louisiana › 172A00000X
Equiella Ivery
NPI 1093420200 · on the registry since 2023
Practice
- Address
- 4295 Ball Park Rd
Fordoche, LA 70732 - Phone
- (225) 274-4155
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana