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Ebony Roussell
NPI 1598262883 · on the registry since 2018 · sole proprietor
Practice
- Address
- 931 Carmadelle St
Marrero, LA 70072 - Phone
- (504) 510-7951
- Organisation at this address
- Ldh Family Affair Llc
Inferred from a shared address, not stated in the registry.
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
- 2018-04-12
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