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 |