HEADACHE AND WELLNESS CENTER OF SOUTHWEST LOUISIANA, LLC

LAKE CHARLES, LA
NPI1043814486
Entity TypeOrganization
Authorized ContactDARCI L PORTIE
Owner
337-508-2333
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Additional Taxonomies363L00000X Nurse Practitioner
Enumeration Date2020-11-25
Last Update Date2021-09-01
Business Address
HEADACHE AND WELLNESS CENTER OF SOUTHWEST LOUISIANA, LLC
803 W BAYOU PINES DR STE B
LAKE CHARLES, LA 70601-7096
Phone number: 337-508-2333
Mailing Address
HEADACHE AND WELLNESS CENTER OF SOUTHWEST LOUISIANA, LLC
803 W BAYOU PINES DR STE B
LAKE CHARLES, LA 70601-7096
Phone number: 337-508-2333
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