MISS Kristina N Vidrine, P.A.

NPI #1629365408 in Marrero, Louisiana

Provider Information

NPI Number
1629365408
Entity Type
Individual
Name
MISS Kristina N Vidrine, P.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Jun 30, 2011
Last Updated
Jun 30, 2011

Practice Location

Address
920 AVENUE B
ZIP Code
70072-3112
Phone
(504) 349-6804

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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