License holder summary

DEFELICE SANDRA FANGUE is a Medical licensed to practice in Louisiana. The address on file for DEFELICE SANDRA FANGUE is THE NEUROMEDICAL CENTER, 10101 PARK ROWE AVE. SUITE 200, BATON ROUGE, LA 70810.

Louisiana

Board of Licensing

DEFELICE SANDRA FANGUE
Medical
License number
PA.A20094.RX
Date expires
01/31/2015
Class
Medical
Status
Active
Address
THE NEUROMEDICAL CENTER, 10101 PARK ROWE AVE. SUITE 200, BATON ROUGE, LA 70810
louisianalicensing.com
ID 22003239
LAST UPDATED 2024-03-02 03:38:16 UTC

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