| Creator Destiny Llc | |
|
503 E Loyola Dr Kenner LA 70065-4119 | |
| (504) 220-8442 | |
| Not Available |
| Full Name | Creator Destiny Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 503 E Loyola Dr, Kenner, Louisiana |
| Authorized Official Name and Position | Yolanda Annette Bonner (OWNER) |
| Authorized Official Contact | 5042208442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creator Destiny Llc Po Box 2353 Kenner LA 70063-2353 Ph: (504) 220-8442 | Creator Destiny Llc 503 E Loyola Dr Kenner LA 70065-4119 Ph: (504) 220-8442 |
| NPI Number | 1669861043 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669861043 | NPI | - | NPPES |
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