Search › Louisiana › 101YM0800X
Tiandra Provo, MHS
NPI 1497230957 · on the registry since 2018
Practice
- Address
- 216 Lobdell Ave
Baton Rouge, LA 70806 - Phone
- (225) 439-8198
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 106S00000X
- Sex
- Female
- Record last updated
- 2022-01-26
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