| NPI | 1073005435 |
|---|---|
| Doing Business As | WOMANS OUTPATIENT CLINIC PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | TERI FONTENOT CEO 225-927-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP09920) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |