| NPI | 1083899173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R LABORDE Office Manager 225-810-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA MD.019318) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-07-26 |